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锯肌后肋间平面阻滞在锁骨骨折手术后解救镇痛中的应用:一例报告。

Serratus Posterior Superior Intercostal Plane Block for Rescue Analgesia After Clavicle Fracture Surgery: A Case Report.

机构信息

From the Department of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey.

出版信息

A A Pract. 2024 Oct 9;18(10):e01859. doi: 10.1213/XAA.0000000000001859. eCollection 2024 Oct 1.

DOI:10.1213/XAA.0000000000001859
PMID:39382599
Abstract

Clavicle fractures are the most common fractures of the shoulder girdle. Due to the complex sensory innervation of the clavicle, patients' pain scores are high in the postoperative period. Therefore, multimodal regional analgesia techniques provided by the combination of cervical plexus and/or brachial plexus have been successfully applied in the literature. Serratus posterior superior intercostal plane block (SPSIPB) is a plane block that provides anterolateral chest wall analgesia. It provides analgesia between C3 and T10. In this case report, our experience with SPSIPB, which we applied for rescue analgesia in a patient who underwent surgery for a clavicle fracture, is described.

摘要

锁骨骨折是肩带最常见的骨折。由于锁骨的复杂感觉神经支配,患者在术后的疼痛评分较高。因此,颈丛和/或臂丛联合的多模式区域镇痛技术已在文献中成功应用。胸锁后上肋间平面阻滞(SPSIPB)是一种提供前胸壁前外侧镇痛的平面阻滞技术。它提供 C3 至 T10 之间的镇痛。在本病例报告中,我们描述了在一名锁骨骨折手术患者中应用 SPSIPB 进行抢救性镇痛的经验。

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引用本文的文献

1
Serratus posterior superior intercostal plane block versus thoracic paravertebral block for pain management after video-assisted thoracoscopic surgery: a randomized prospective study.用于电视辅助胸腔镜手术后疼痛管理的后锯肌上肋间平面阻滞与胸椎旁阻滞:一项随机前瞻性研究。
Braz J Anesthesiol. 2025 Jun 3;75(5):844647. doi: 10.1016/j.bjane.2025.844647.