胸肋-肋间筋膜平面阻滞用于心胸外科手术后的疼痛管理
Pecto-Intercostal Fascial Plane Block for Pain Management after Cardiothoracic Surgery.
作者信息
Kaye Alan D, Vuong Christopher A, Hawkins Alison M, Serio Macie A, Dethloff Drew R, Hollander Alex V, Ahmadzadeh Shahab, Skidmore Kimberly L, Palowsky Zachary R, Shekoohi Sahar
机构信息
Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, 71103, USA.
School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, 70112, USA.
出版信息
Curr Pain Headache Rep. 2025 May 15;29(1):84. doi: 10.1007/s11916-025-01398-9.
PURPOSE OF REVIEW
Cardiac surgery is associated with significant postoperative pain. Compared to traditional analgesics, regional nerve blocks target specific anatomical areas to improve analgesia and to reduce postoperative opioid consumption.
RECENT FINDINGS
Pecto-intercostal fascial plane block (PIFB) is a novel analgesic technique that involves ultrasound-guided injection of anesthetic between pectoralis major and external intercostal muscles. Since PIFB is a relatively underexplored method of analgesia, to date, few manuscripts have reviewed and synthesized current literature related to PIFB.
CONCLUSION
The present investigation focuses on relevant anatomy and physiology behind the PIFB, compares this novel technique with other traditional and novel methods of analgesia, and describes indications and contraindications for PIFB in cardiac surgery and other surgeries.
综述目的
心脏手术与显著的术后疼痛相关。与传统镇痛药相比，区域神经阻滞针对特定解剖区域以改善镇痛效果并减少术后阿片类药物的使用。
最新发现
胸肋筋膜平面阻滞（PIFB）是一种新型镇痛技术，涉及在超声引导下将麻醉剂注射到胸大肌和肋间外肌之间。由于PIFB是一种相对未被充分探索的镇痛方法，迄今为止，很少有手稿对与PIFB相关的当前文献进行综述和综合。
结论
本研究聚焦于PIFB背后的相关解剖学和生理学，将这种新技术与其他传统和新型镇痛方法进行比较，并描述了PIFB在心脏手术和其他手术中的适应证和禁忌证。
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