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活体脏捐赠者的外侧斜腰间肋间阻塞 开放性脏切除术:一个案例系列
Catarina Petiz1, Rita Barbosa1, Teresa Ribeiro Boneco1
1Anesthesiology, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PRT.
Cureus
|June 19, 2023
概括
外侧斜间隔 (EOI) 块为腹部上部手术患者提供有效的疼痛缓解. 这种区域麻醉技术在接受切除术的活体脏捐赠者中显示出良好的结果.
科学领域:
- 区域麻醉地区麻醉
- 疼痛管理 疼痛管理
- 手术瘤学手术瘤学
背景情况:
- 腹部上部手术,如开放性切除术,往往导致显著的术后疼痛.
- 有效的疼痛管理对于患者的康复和减少并发症至关重要.
- 外侧斜肋间 (EOI) 阻塞是一种新兴的区域麻醉技术.
研究的目的:
- 评估外部斜间肋骨 (EOI) 阻断在活体脏捐赠者的止痛效果.
- 报告在接受开放性切除术的患者中使用单次注射和连续性EOI阻塞的经验.
- 突出结合EOI阻断与传统疼痛治疗的好处.
主要方法:
- 一个涉及5名接受开放性切除术的患者的病例系列.
- 应用单次注射和连续的外部斜横间肋间 (EOI) 块.
- 使用数值评分尺度 (NRS) 评估疼痛在休息后手术.
主要成果:
- 外侧斜肋间 (EOI) 阻塞在研究患者中提供了良好的疼痛缓解.
- 手术后立即休息时NRS得分的中位数 (IQR) 是3 (1-6).
- 经历的疼痛主要是内在的.
结论:
- 外侧斜肋间 (EOI) 块是一种有益的区域技术,用于管理腹部上部切口后的疼痛.
- 结合EOI阻断与传统疗法可以增强术后疼痛管理.
- 这种技术有望改善切除术和类似手术中患者的治疗结果.
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