Farooq Fahad, Wierzejski Wojciech T
Department of Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Graduate School of Medicine, University of Wollongong, Wollongong, AUS.
Cureus. 2023 Jun 30;15(6):e41220. doi: 10.7759/cureus.41220. eCollection 2023 Jun.
The utilization of the brachial plexus block has become commonplace in shoulder replacement surgery and the management of postoperative pain. Nonetheless, this technique carries risks, including the occurrence of phrenic nerve palsy and subsequent postoperative dyspnea. In light of these concerns, the erector spinae plane block emerges as a safe, simple, and effective alternative for shoulder surgery with reduced risk of phrenic nerve palsy and potential motor sparing in the affected limb. This research endeavors to elucidate the analgesic application of erector spinae plane block (ESPB) through the presentation and analysis of two cases involving reverse shoulder arthroplasty.
臂丛神经阻滞在肩关节置换手术及术后疼痛管理中已变得很常见。尽管如此，该技术存在风险，包括膈神经麻痹的发生及随后的术后呼吸困难。鉴于这些问题，竖脊肌平面阻滞作为一种安全、简单且有效的替代方法出现，用于肩部手术，可降低膈神经麻痹风险，并在受影响肢体中可能保留运动功能。本研究旨在通过呈现和分析两例涉及反式肩关节置换术的病例来阐明竖脊肌平面阻滞（ESPB）的镇痛应用。
