Tulgar Serkan, Ahıskalıoğlu Ali, Kilicaslan Alper, Çiftçi Bahadır, Dost Burhan, Aydın Muhammed Enes, Gürkan Yavuz
Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, Samsun Training and Research Hospital, Samsun, Turkiye.
Department of Anesthesiology and Reanimation, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkiye.
Saudi J Anaesth. 2025 Apr-Jun;19(2):198-208. doi: 10.4103/sja.sja_844_24. Epub 2025 Mar 25.
This narrative review evaluates the efficacy of fascial plane blocks (FPB) as sole anesthetic method for surgery. Particularly in selected high-risk patients, fascial plane blocks may be a more useful and convenient option than general anesthesia or neuraxial anesthesia. In recent years, with the use of ultrasound, newly defined FPBs have emerged and these techniques have become popular. There are case reports in the literature reporting the use of these blocks for anesthesia, but clinical studies are limited and clinicians may be undecided about which block or combination to apply in which case. In this narrative review, which is the first in this field in the literature, we aimed to discuss the use of FPBs and which combinations can be used in which incisions and which surgeries.
本叙述性综述评估了筋膜平面阻滞(FPB)作为手术唯一麻醉方法的疗效。特别是在选定的高危患者中,筋膜平面阻滞可能比全身麻醉或椎管内麻醉更有用、更方便。近年来,随着超声技术的应用,新定义的筋膜平面阻滞方法不断涌现,这些技术也越来越受欢迎。文献中有病例报告使用这些阻滞进行麻醉,但临床研究有限,临床医生可能不确定在何种情况下应用哪种阻滞或联合阻滞。在本叙述性综述中,这是该领域文献中的第一篇,我们旨在讨论筋膜平面阻滞的应用,以及哪些联合阻滞可用于哪些切口和哪些手术。