Katz Jared, Bok Sean Seongjou, Dizdarevic Anis
Columbia University Medical Center, New York, NY, USA.
Curr Pain Headache Rep. 2025 Jan 8;29(1):21. doi: 10.1007/s11916-024-01328-1.
The purpose of this review is to provide the most recent update and summary on the consideration, benefits and application of regional anesthesia in the ICU setting, as it pertains to the management of perioperative pain.
Regional anesthesia and analgesia have become ubiquitous in the perioperative setting, with numerous indications and benefits. As integral part of the multimodal analgesia approach, various regional blocks have been increasingly utilized in critically ill patients. We focus this review on various regional techniques employed for critically ill patients after cardiac, thoracic, and major abdominal surgery, including neuraxial and novel truncal blocks. Effective pain management in critically ill patients poses many challenges and is extremely important. Regional anesthesia, in combination with other analgesia modalities, while still under-utilized, can help reduce acute perioperative pain, stress response, opioid use and related side effects and expedite recovery and improve clinical outcomes.
本综述旨在提供有关区域麻醉在重症监护病房（ICU）环境中对于围手术期疼痛管理的考量、益处及应用的最新进展和总结。
区域麻醉和镇痛在围手术期已广泛应用，具有多种适应证和益处。作为多模式镇痛方法的重要组成部分，各种区域阻滞在重症患者中越来越多地被采用。我们将本综述聚焦于心脏、胸部和腹部大手术后重症患者所采用的各种区域技术，包括神经轴索阻滞和新型躯干阻滞。重症患者的有效疼痛管理面临诸多挑战且极为重要。区域麻醉与其他镇痛方式联合使用，尽管仍未得到充分利用，但有助于减轻围手术期急性疼痛、应激反应、阿片类药物使用及相关副作用，并加速康复和改善临床结局。
