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连续双侧竖脊肌平面阻滞：脊柱侧凸患者心脏手术的镇痛福音。

Continuous Bilateral Transversus Thoracicmuscle Plane Block: An Analgesia Boon for Scoliotic Patients Undergoing Cardiac Surgery.

机构信息

Department of Anesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.

Department of General Surgery, Government Medical College and Hospital, Chandigarh, India.

出版信息

Ann Card Anaesth. 2024 Jan 1;27(1):61-64. doi: 10.4103/aca.aca_47_23. Epub 2024 Jan 12.

DOI:10.4103/aca.aca_47_23
PMID:38722124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10876124/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/aa4adb47b00d/ACA-27-61-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/8fb619654030/ACA-27-61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/8fcc4cf89844/ACA-27-61-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/f8b28e80bc32/ACA-27-61-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/aa4adb47b00d/ACA-27-61-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/8fb619654030/ACA-27-61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/8fcc4cf89844/ACA-27-61-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/f8b28e80bc32/ACA-27-61-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dc/10876124/aa4adb47b00d/ACA-27-61-g004.jpg

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本文引用的文献

1
Correction: The impact of a postoperative multimodal analgesia pathway on opioid use and outcomes after cardiothoracic surgery.更正：术后多模式镇痛方案对心胸外科手术后阿片类药物使用及预后的影响。
J Cardiothorac Surg. 2023 Jan 23;18(1):45. doi: 10.1186/s13019-023-02149-w.
2
An Expert Review of Chest Wall Fascial Plane Blocks for Cardiac Surgery.心脏手术胸壁筋膜平面阻滞的专家综述
J Cardiothorac Vasc Anesth. 2023 Feb;37(2):279-290. doi: 10.1053/j.jvca.2022.10.026. Epub 2022 Nov 1.
3
Trajectories of Pain After Cardiac Surgery: Implications for Measurement, Reporting, and Individualized Treatment.
心脏手术后的疼痛轨迹：对测量、报告和个体化治疗的影响。
Circ Cardiovasc Qual Outcomes. 2021 Aug;14(8):e007781. doi: 10.1161/CIRCOUTCOMES.120.007781. Epub 2021 Jul 26.
4
The erector spinae plane block causes only cutaneous sensory loss on ipsilateral posterior thorax: a prospective observational volunteer study.竖脊肌平面阻滞只会导致同侧后胸部皮肤感觉丧失：一项前瞻性观察志愿者研究。
BMC Anesthesiol. 2020 Apr 20;20(1):88. doi: 10.1186/s12871-020-01002-0.
5
Effectiveness of an early mobilization program on functional capacity after coronary artery bypass surgery: A randomized controlled trial protocol.早期活动计划对冠状动脉搭桥术后功能能力的有效性：一项随机对照试验方案。
SAGE Open Med. 2016 Dec 14;4:2050312116682256. doi: 10.1177/2050312116682256. eCollection 2016.
6
Benefits and risks of epidural analgesia in cardiac surgery.心脏手术中硬膜外镇痛的益处和风险。
Br J Anaesth. 2015 Jul;115(1):25-32. doi: 10.1093/bja/aev201.
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