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斜方肌平面阻滞:在神经移植手术围手术期疼痛管理中的拓展应用

The trapezius plane block: Extended use in perioperative pain management in nerve transfer surgeries.

作者信息

Kukanti Chandini, Jakkireddy Sravani, Arora Prateek

机构信息

Department of Anaesthesiology, All India Institute of Medical Sciences Raipur, Chhattisgarh, India.

出版信息

Saudi J Anaesth. 2024 Jul-Sep;18(3):435-437. doi: 10.4103/sja.sja_3_24. Epub 2024 Jun 4.

Abstract

Nerve transfer surgery has emerged as a promising approach to restoring function in paralyzed muscles. The trapezius plane block (TPB) blocks the thoracic branches of the posterior primary rami, providing extended analgesia in nerve transfer surgeries. The case report describes the analgesia profiling of a young man who suffered a traumatic pan-brachial plexus injury and underwent a spinal accessory nerve to the suprascapular nerve transfer. TPB was utilized as a part of multimodal analgesia. TPB represents an advancement in regional anesthesia, providing extended analgesia and reducing opioid consumption. TPB can promote patient comfort and facilitate early mobilization.

摘要

神经移植手术已成为恢复瘫痪肌肉功能的一种有前景的方法。斜方肌平面阻滞(TPB)可阻滞后支的胸段分支,在神经移植手术中提供长效镇痛。该病例报告描述了一名遭受创伤性全臂丛神经损伤并接受副神经至肩胛上神经移植的年轻男性的镇痛情况。TPB被用作多模式镇痛的一部分。TPB代表了区域麻醉的一项进展,可提供长效镇痛并减少阿片类药物的使用。TPB可提高患者舒适度并促进早期活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/065d/11323919/1bf2f25753a5/SJA-18-435-g001.jpg

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