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单侧竖脊肌平面(ESP)阻滞术后意外硬膜外扩散:一例报告。

Unintended Epidural Spread Following Unilateral Erector Spinae Plane (ESP) Block: A Case Report.

作者信息

Fiume Diego, Arciuolo Michele, Baldelli Beatrice, Carlini Silvia, Galletti Massimo

机构信息

Department of Anesthesiology and Critical Care, UniCamillus - Saint Camillus International University of Health and Medical Sciences, Rome, ITA.

Department of Anesthesiology, Sant'Eugenio Hospital, Rome, ITA.

出版信息

Cureus. 2025 Jul 14;17(7):e87888. doi: 10.7759/cureus.87888. eCollection 2025 Jul.

Abstract

The erector spinae plane block (ESPB) is a fascial block that consists of the injection of local anesthetic into the space between the erector spinae muscle and the transverse process of the vertebrae. The clinical case presented concerns the execution of an ESPB to control perioperative pain in a patient undergoing breast surgery and the side effects we encountered. Although the block is very effective and easy to perform, it has unpredictable side effects, which are still the subject of numerous clinical studies. ESPB is used all over the world; it is important to know more about the complications that can occur with this block. This case report aims to improve knowledge in this regard.

摘要

竖脊肌平面阻滞(ESPB)是一种筋膜阻滞,通过将局麻药注射到竖脊肌与椎骨横突之间的间隙来实现。本文介绍的临床病例涉及对一名接受乳房手术的患者实施ESPB以控制围手术期疼痛以及我们所遇到的副作用。尽管该阻滞非常有效且易于实施,但其副作用不可预测,仍是众多临床研究的主题。ESPB在全球范围内都有应用;了解更多关于这种阻滞可能出现的并发症非常重要。本病例报告旨在增进这方面的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/12345068/a69845b44a89/cureus-0017-00000087888-i01.jpg

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