外側斜辺間肋間平面ブロック:解剖学,技術,および臨床応用のスケーピングレビュー
Sakshi Thakore1, Tuhin Mistry2, Abhijit S Nair3
1Associate Professor, Department of Anaesthesiology, Ananta Institute of Medical Sciences, Udaipur, Rajasthan, India.
Indian journal of anaesthesia
|February 16, 2026
まとめ
外側斜辺間横平面ブロック (EOIPB) は,手術の際に安全で効果的な疼痛緩和を提供します. この超音波によるガイドテクニックは,オピオイドの使用を減らすこと,患者の回復を改善することに有望であることが示されています.
科学分野:
- 地域麻酔 地域麻酔
- 超音波によるガイドされた手順
- 疼痛管理 疼痛管理
背景:
- 外側斜辺間肋平面ブロック (EOIPB) は,超音波による地域麻酔の新興技術である.
- 外側斜筋と外側肋間筋の間のファシアル平面を標的とする.
研究 の 目的:
- EOIPBの現在の証拠をマッピングするスコーピングレビューを実施します.
- このレビューは,解剖学的基礎,技術,臨床応用,有効性,安全性などをカバーしています.
主な方法:
- PubMed,Scopus,Cochraneのデータベースを体系的に検索する (2019年1月 - 2025年7月).
- 臨床試験,観察研究,症例シリーズ,症例報告,および死体調査を含む.
- 1610人の患者を対象とした42の研究を分析した.
主要な成果:
- EOIPBは通常,T6-T10皮膚をカバーする,平面内サギタルのアプローチで,第6肋骨で投与されます.
- オピオイドを節約する効果が実証され,痛みのスコアが低下し,回復が改善されました.
- 他の地域ブロックと傷の浸透に匹敵し,または優れている; カテーテルの使用は長期の鎮痛を可能にします.
結論:
- EOIPBは,上腹部および下胸部手術のための安全で効果的な,そして汎用的な地域麻酔技術です.
- 手術後の回復を向上させる可能性を示しています.
- さらに高品質な比較研究と技術標準化が必要である.
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