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腰椎竖脊肌平面阻滞用于一名患有复杂神经问题的儿科患者的德加骨盆截骨术:病例报告

Lumbar Erector Spinae Plane Block for Dega Pelvic Osteotomy in a Pediatric Patient With Complex Neurological Issues: A Case Report.

作者信息

Hruschka James A, Huynh Pearl M, Petersen Timothy R, Stallard Stacey A, Soneru Codruta N

机构信息

Anesthesiology, Charleston Area Medical Center, Charleston, USA.

Anesthesiology and Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA.

出版信息

Cureus. 2024 Mar 30;16(3):e57263. doi: 10.7759/cureus.57263. eCollection 2024 Mar.

Abstract

The erector spinae plane (ESP) block, initially designed for thoracic analgesia, has evolved into a versatile regional anesthesia technique with literature support for success in numerous contexts. In this case report, we highlight the successful application of ESP to provide postoperative analgesia for pediatric Dega osteotomy involving both the femoral head and acetabulum, in a patient with numerous neurological comorbidities that would have weighed against some more traditional regional anesthesia techniques. This case further highlights the versatility of ESP, demonstrating its use in blocking lumbar nerve roots in a pediatric patient with complex neurological challenges.

摘要

竖脊肌平面(ESP)阻滞最初是为胸部镇痛而设计的,现已发展成为一种多功能区域麻醉技术,在众多情况下的成功应用均有文献支持。在本病例报告中,我们重点介绍了ESP在为一名患有多种神经合并症的患儿成功实施涉及股骨头和髋臼的小儿德加截骨术术后镇痛中的应用,这些合并症使得一些传统区域麻醉技术不适用。该病例进一步突出了ESP的多功能性,展示了其在为一名面临复杂神经挑战的小儿患者阻滞腰神经根方面的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b38/11057670/03b24e17e471/cureus-0016-00000057263-i01.jpg

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