圣体ESP用于疼痛管理的跨腰体融合病例:一个案例系列
Anju Gupta1, Sandeep Diwan2, Vivek Shankar3
1Department of Anesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.
Saudi journal of anaesthesia
|August 21, 2023
概括
圣勃起器脊柱平面块 (ESPB) 为腰椎手术提供有效的疼痛缓解. 这种新的技术提供了良好的止痛效果,并减少了在接受跨腰部体融合 (TLIF) 的患者中使用阿片类药物.
科学领域:
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
- 脊柱外科手术 脊柱外科手术
背景情况:
- 腰部勃起器脊柱平面阻塞 (ESPB) 对于脊柱手术是有效的,但在技术上要求很高.
- 萨克拉ESPB提出了一种新的方法,用于皮皮肤瘤覆盖的潜在的sacrococcygeal程序.
研究的目的:
- 为了评估在接受腰椎手术的患者中神圣ESPB的止痛效果.
- 评估神圣ESPB在跨腰间体融合 (TLIF) 中对阿片类药物节约作用的潜力.
主要方法:
- 病例系列包括五名患有 lumbosacral radiculopathy,接受TLIF治疗的患者.
- 在俯卧的位置下在超声波指导下进行的圣体ESPB.
- 针插入,准S2中部峰和上面的肌肉之间的形平面.
主要成果:
- 所有患者都经历了良好的术后止痛.
- 手术后需要最小的阿片类止痛剂剂量.
- 萨克拉尔ESPB显示出一个有利的安全概况.
结论:
- 圣体ESPB是一种简单,有效和安全的技术,用于TLIF的多模式止痛.
- 圣体ESPB可以是预防性止痛的宝贵组成部分,达到阿片类药物节约效果.
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