Department of Anesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.
Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.
Ann Card Anaesth. 2024 Jan 1;27(1):61-64. doi: 10.4103/aca.aca_47_23. Epub 2024 Jan 12.
A person with thoracolumbar scoliosis for cardiac surgery presents with problems of restrictive lung disease with the additional risk of reduced lung compliance and respiratory complications compared to the other patients. Post-operative analgesia in the form of continuous bilateral transversus thoracic muscle plane block (TTMPB) may help such patients in early respiratory rehabilitation by decreasing the time to extubation, reducing the opioid requirement, and early initiation of physiotherapy decreasing the risk of complications.
一名患有胸腰椎侧凸的心脏病患者存在限制性肺部疾病问题,与其他患者相比,其肺顺应性降低和呼吸并发症的风险增加。术后采用连续双侧胸横肌平面阻滞(TTMPB)的方式进行镇痛,可能有助于此类患者通过缩短拔管时间、减少阿片类药物需求以及早期开始物理治疗来促进早期呼吸康复,从而降低并发症风险。