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一种用于接受心脏设备植入患者的新型神经阻滞技术。

A Novel Nerve Block Technique for a Patient Undergoing Cardiac Device Implantation.

作者信息

Antiperovitch Pavel, Mokhtar Ahmed T, Mian Muhtashim, Yee Raymond, Khan Habib Rehman

机构信息

Department of Medicine, Division of Cardiology, London Health Sciences Centre, Western University, London, Ontario, Canada.

Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

JACC Case Rep. 2022 Nov 3;4(24):101612. doi: 10.1016/j.jaccas.2022.08.028. eCollection 2022 Dec 21.

DOI:10.1016/j.jaccas.2022.08.028
PMID:36684036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9847233/
Abstract

A woman with type 1 myotonic dystrophy received an implantable cardioverter-defibrillator using a novel combination of ultrasound-guided supraclavicular nerve and pectoral nerve blocks. The entire procedure was completed without any procedural sedation or local anesthetic, and the patient did not experience any pain during or after the procedure. ().

摘要

一名1型强直性肌营养不良症女性患者接受了植入式心脏复律除颤器，采用了超声引导下锁骨上神经和胸神经阻滞的新型联合方法。整个手术在没有任何程序镇静或局部麻醉的情况下完成，患者在手术期间及术后均未感到任何疼痛。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/a49fda71e60a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/75a5ed26d40a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/ee38ca3619f6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/a49fda71e60a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/75a5ed26d40a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/ee38ca3619f6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa7e/9847233/a49fda71e60a/gr2.jpg

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本文引用的文献

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Heart Rhythm. 2020 Aug;17(8):1346-1353. doi: 10.1016/j.hrthm.2020.03.009. Epub 2020 Mar 20.
2
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Pacing Clin Electrophysiol. 2019 Jul;42(7):1026-1031. doi: 10.1111/pace.13725. Epub 2019 May 29.
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2018年美国心脏病学会/美国心脏协会/心律学会关于心动过缓和心脏传导延迟患者评估与管理的指南：美国心脏病学会/美国心脏协会临床实践指南工作组和心律学会的报告
J Am Coll Cardiol. 2019 Aug 20;74(7):e51-e156. doi: 10.1016/j.jacc.2018.10.044. Epub 2018 Nov 6.
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Intraoperative pectoral nerve block (Pec) for breast cancer surgery: A randomized controlled trial.乳腺癌手术中胸神经阻滞（Pec）：一项随机对照试验。
J Anaesthesiol Clin Pharmacol. 2018 Jul-Sep;34(3):318-323. doi: 10.4103/joacp.JOACP_191_17.
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Pectoral nerves (PECS) and intercostal nerve block for cardiac resynchronization therapy device implantation.用于心脏再同步治疗设备植入的胸神经（PECS）和肋间神经阻滞
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