连续胸椎旁神经阻滞治疗电风暴。
Continuous Thoracic Paravertebral Block to Treat Electrical Storm.
机构信息
Acute Pain Service, School of Medicine and Dentistry, University of Rochester, Rochester, New York.
Pediatric Anesthesiology Division, Department of Anesthesiology, School of Medicine and Dentistry, University of Rochester, Rochester, New York.
出版信息
Tex Heart Inst J. 2022 Mar 1;49(2). doi: 10.14503/THIJ-17-6433.
Abstract
Continuous ganglion block is increasingly being used to help manage ventricular tachyarrhythmias. We present the cases of 2 patients in whom we used continuous left thoracic paravertebral block to achieve sympathetic denervation and improvement in drug-refractory ventricular tachyarrhythmias. Whether as destination therapy or bridging therapy, we conclude that the block is safe, improves patients' comfort, and is superior in several ways to stellate ganglion block and other single-injection techniques.
摘要
连续神经节阻滞越来越多地被用于帮助管理室性心动过速。我们报告了 2 例患者的病例，我们使用连续左胸旁椎旁阻滞来实现交感神经去神经，改善药物难治性室性心动过速。无论是作为终末期治疗还是桥接治疗，我们的结论是阻滞是安全的，改善了患者的舒适度，并且在多个方面优于星状神经节阻滞和其他单次注射技术。
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