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锁骨胸肌平面阻滞作为锁骨手术的单一麻醉技术——病例报告

Clavipectoral plane block as a sole anesthetic technique for clavicle surgery - A case report.

作者信息

Rosales Aileen Lagmay, Aypa Noel Singson

机构信息

Section of Regional Anesthesia and Acute Pain Management, Department of Anesthesiology, Makati Medical Center, Makati City, Philippines.

出版信息

Anesth Pain Med (Seoul). 2022 Jan;17(1):93-97. doi: 10.17085/apm.21085. Epub 2021 Dec 28.

DOI:10.17085/apm.21085
PMID:34974646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8841259/
Abstract

BACKGROUND

The clavipectoral fascial plane block was introduced by Dr. Luis Valdes in a symposium at the 2017 European Society of Regional Anesthesia and Pain Therapy Congress.

CASE

Clavipectoral plane block (CPB) with intravenous sedation provided surgical anesthesia and analgesia in a 39-year-old male patient with a right midshaft clavicle fracture. This in-plane technique was used to deposit 30 ml of a local anesthesia mixture between the clavipectoral fascia and periosteum on both the medial and lateral sides of the fracture line.

CONCLUSIONS

Excellent anesthesia and analgesia for up to 16 h post-block were provided by CPB during the clavicle surgery.

摘要

背景

胸锁筋膜平面阻滞由路易斯·巴尔德斯博士在2017年欧洲区域麻醉与疼痛治疗学会大会的一次研讨会上提出。

病例

一名39岁男性右锁骨中段骨折患者,采用胸锁平面阻滞(CPB)联合静脉镇静提供手术麻醉和镇痛。采用这种平面内技术在骨折线内外侧的胸锁筋膜和骨膜之间注入30毫升局部麻醉混合液。

结论

锁骨手术期间,CPB提供了长达阻滞后16小时的出色麻醉和镇痛效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e939/8841259/c03c7f764c51/apm-21085f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e939/8841259/47cc137b3682/apm-21085f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e939/8841259/c03c7f764c51/apm-21085f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e939/8841259/47cc137b3682/apm-21085f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e939/8841259/c03c7f764c51/apm-21085f2.jpg

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本文引用的文献

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Use of clavipectoral fascial plane block for clavicle fracture: Two case reports.胸锁筋膜平面阻滞用于锁骨骨折:两例病例报告。
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Combined Interscalene Brachial Plexus and Superficial Cervical Plexus Nerve Block for Midshaft Clavicle Surgery: A Case Series.
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Healthcare (Basel). 2022 Aug 7;10(8):1487. doi: 10.3390/healthcare10081487.
联合肌间沟臂丛神经和颈浅丛神经阻滞用于锁骨中段手术:病例系列
AANA J. 2019 Oct;87(5):374-378.
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