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活体肾供体开放肾切除术的腹外斜肌肋间阻滞:病例系列

External Oblique Intercostal Block for Living Kidney Donor Open Nephrectomy: A Case Series.

作者信息

Petiz Catarina, Barbosa Rita, Ribeiro Boneco Teresa, Pacheco Jânia, Resende Alexandra

机构信息

Anesthesiology, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PRT.

出版信息

Cureus. 2023 May 17;15(5):e39139. doi: 10.7759/cureus.39139. eCollection 2023 May.

Abstract

The external oblique intercostal (EOI) block is a novel regional technique that provides analgesia for upper abdominal incisions. We performed single-injection and continuous EOI blocks in living kidney donors who underwent open nephrectomy. In this case series, we report our experience with pain management using this technique in five patients at our centre. EOI block resulted in good pain relief in our patients. The median (IQR) numerical rating scale score was 3 (1-6) at rest immediately after the end of the surgery, predominantly visceral. We want to highlight the benefits regarding pain management of the association of EOI block with conventional therapy.

摘要

腹外斜肌肋间(EOI)阻滞是一种新型区域技术,可为上腹部手术切口提供镇痛。我们对接受开放性肾切除术的活体肾供体进行了单次注射和连续EOI阻滞。在这个病例系列中,我们报告了我们中心5例患者使用该技术进行疼痛管理的经验。EOI阻滞在我们的患者中产生了良好的疼痛缓解效果。术后立即休息时,数字评分量表评分的中位数(IQR)为3(1-6),主要为内脏痛。我们想强调EOI阻滞与传统治疗联合在疼痛管理方面的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e3b/10275393/e2ee4be9a351/cureus-0015-00000039139-i01.jpg

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