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脊髓刺激植入术后增强镇痛效果:利用脂质体布比卡因对竖脊肌平面阻滞效果的综合评估

Enhancing post-operative analgesia following spinal cord stimulation implant: a comprehensive evaluation of the effectiveness of erector spinae plane block utilizing liposomal bupivacaine.

作者信息

Sagir Afrin, Murphy Melissa, Teames Richard, Calenda Doug

机构信息

Hospital of the University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA.

North Texas Orthopedics & Spine Center, Grapevine, TX 76051.

出版信息

Pain Manag. 2023 Dec;13(12):717-722. doi: 10.2217/pmt-2023-0062. Epub 2023 Dec 6.

Abstract

Erector spinae plane block (ESPB) is an inter-fascial plane block that provides multi-dermatomal analgesia for treatment of acute pain and chronic neuropathic pain in the trunk. This retrospective case series describes a novel method of treating acute postoperative pain after spinal cord stimulation implant with erector spinae plane block using liposomal bupivacaine. Bilateral erector spinae plane block was administered at L1-L2 intervertebral level in 18 cases prior to performing spinal cord stimulation implant at one interspace above. This study reveals that the block provides effective analgesia as evidenced by low pain scores and less opioid consumption after surgery.

摘要

竖脊肌平面阻滞(ESPB)是一种筋膜间平面阻滞,可为躯干急性疼痛和慢性神经性疼痛的治疗提供多节段镇痛。本回顾性病例系列描述了一种使用脂质体布比卡因进行竖脊肌平面阻滞治疗脊髓刺激植入术后急性疼痛的新方法。在18例患者中,于L1-L2椎间隙水平进行双侧竖脊肌平面阻滞,然后在上方一个间隙进行脊髓刺激植入。本研究表明,该阻滞提供了有效的镇痛效果,术后疼痛评分低和阿片类药物消耗量少证明了这一点。

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