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以筋膜平面阻滞作为主要麻醉方法:一项叙述性综述。

Fascial plane blocks as the main anesthetic method: A narrative review.

作者信息

Tulgar Serkan, Ahıskalıoğlu Ali, Kilicaslan Alper, Çiftçi Bahadır, Dost Burhan, Aydın Muhammed Enes, Gürkan Yavuz

机构信息

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.

出版信息

Saudi J Anaesth. 2025 Apr-Jun;19(2):198-208. doi: 10.4103/sja.sja_844_24. Epub 2025 Mar 25.

DOI:10.4103/sja.sja_844_24
PMID:40255355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12007856/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/d2e8c0d7253c/SJA-19-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/bf70a7b33556/SJA-19-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/bd931f76a1a5/SJA-19-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/d2e8c0d7253c/SJA-19-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/bf70a7b33556/SJA-19-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/bd931f76a1a5/SJA-19-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2604/12007856/d2e8c0d7253c/SJA-19-198-g003.jpg

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引用本文的文献

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Fascial plane blocks in the era of modern regional anesthesia: shaping the future of pain management.现代区域麻醉时代的筋膜平面阻滞:塑造疼痛管理的未来。
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Can Rhomboid Intercostal Block Be an Alternative to Paravertebral Block in Video-Assisted Thoracoscopic Surgery? A Randomized Prospective Study.菱形肌肋间阻滞能否替代椎旁阻滞用于电视辅助胸腔镜手术?一项随机前瞻性研究。
Diagnostics (Basel). 2024 Sep 25;14(19):2129. doi: 10.3390/diagnostics14192129.
2
Is the combination of interfascial plane blocks sufficient for awake breast cancer surgery? An observational, prospective, proof-of-concept study.筋膜平面阻滞联合应用是否足以满足清醒乳腺癌手术的需要?一项观察性、前瞻性、概念验证研究。
BMC Anesthesiol. 2024 Sep 20;24(1):337. doi: 10.1186/s12871-024-02725-0.
3
The effect of preemptive retrolaminar block on lumbar spinal decompression surgery.
预防性椎板后间隙阻滞对腰椎减压手术的影响。
Eur Spine J. 2024 Nov;33(11):4253-4261. doi: 10.1007/s00586-024-08219-4. Epub 2024 Jun 17.
4
Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study.锁骨中段骨折中 clavipectoral 筋膜平面阻滞:尸体研究。
J Clin Anesth. 2024 Sep;96:111469. doi: 10.1016/j.jclinane.2024.111469. Epub 2024 Apr 27.
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Combined lumbar and sacral erector spinae plane (LS-ESP) block for hip fracture pain and surgery.联合腰段和骶段竖脊肌平面(LS-ESP)阻滞用于髋部骨折疼痛及手术
Minerva Anestesiol. 2024 Jul-Aug;90(7-8):712-714. doi: 10.23736/S0375-9393.24.18093-5. Epub 2024 Apr 24.
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Awake clavipectoral facial plane block for clavicle surgeries: A case series.用于锁骨手术的清醒胸锁筋膜平面阻滞:病例系列
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Use of Bilateral Rectus Sheath Blocks in Open Umbilical Hernia Repair.双侧直肌鞘阻滞在开放性脐疝修补术中的应用。
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Anaesth Rep. 2024 Jan 3;12(1):e12269. doi: 10.1002/anr3.12269. eCollection 2024 Jan-Jun.