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采用竖脊肌平面阻滞和冷冻消融的多模式椎体束缚方法。

Multimodal Approach to Vertebral Body Tethering With Erector Spinae Plane Blocks and Cryoablation.

作者信息

Chao Adam P

机构信息

Pediatric Anesthesiology, Shriners Children's, Sacramento, USA.

出版信息

Cureus. 2022 Nov 8;14(11):e31260. doi: 10.7759/cureus.31260. eCollection 2022 Nov.

DOI:10.7759/cureus.31260
PMID:36505180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9731667/
Abstract

Multimodal analgesia that combines around-the-clock medications and regional techniques can be especially effective for postoperative pain control. We describe a pediatric patient who underwent vertebral body tethering via an open thoracolumbar approach to treat juvenile idiopathic scoliosis. Erector spinae plane blocks (ESPBs), cryoablation to the intercostal nerves, and multimodal medications helped control our patient's pain well enough for her to be discharged home on postoperative day 2. To the best of our knowledge, this is the first report of this combination of regional techniques used for vertebral body tethering (VBT).

摘要

将全天候用药与区域技术相结合的多模式镇痛对于术后疼痛控制可能特别有效。我们描述了一名儿科患者，该患者通过开放胸腰椎入路进行椎体拴系术以治疗青少年特发性脊柱侧凸。竖脊肌平面阻滞（ESPBs）、肋间神经冷冻消融术和多模式药物治疗有效地控制了我们患者的疼痛，使其在术后第2天就可以出院回家。据我们所知，这是首次报道将这种区域技术组合用于椎体拴系术（VBT）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/b853f19b18a0/cureus-0014-00000031260-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/83a65f7f498f/cureus-0014-00000031260-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/8acd075f186c/cureus-0014-00000031260-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/b853f19b18a0/cureus-0014-00000031260-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/83a65f7f498f/cureus-0014-00000031260-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/8acd075f186c/cureus-0014-00000031260-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/9731667/b853f19b18a0/cureus-0014-00000031260-i03.jpg

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本文引用的文献

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Regional Anesthetic Approaches for Postoperative Analgesia Following Vertebral Body Tethering: A Case Series.后路椎体牵拉术后镇痛的区域麻醉方法：病例系列研究。
A A Pract. 2021 Aug 23;15(8):e01510. doi: 10.1213/XAA.0000000000001510.
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Intraoperative intercostal nerve cryoablation During the Nuss procedure reduces length of stay and opioid requirement: A randomized clinical trial.胸腔镜辅助下 Nuss 手术中肋间神经冷冻消融术可减少住院时间和阿片类药物需求：一项随机临床试验。
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Outcomes Using Cryoablation for Postoperative Pain Control in Children Following Minimally Invasive Pectus Excavatum Repair.冷冻消融术用于小儿微创漏斗胸修复术后疼痛控制的效果
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A Comparison of Multimodal Analgesic Approaches in Institutional Enhanced Recovery After Surgery Protocols for Colorectal Surgery: Pharmacological Agents.结直肠手术机构术后加速康复方案中多模式镇痛方法的比较：药理制剂
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