连续勃起器脊柱平面块用于疼痛管理,用于大动脉切除术的胸腔切除术后的疼痛管理
Jay D Holladay1, Christopher McKee1,2, Olubukola O Nafiu1,2
1Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Journal of medical cases
|February 8, 2024
概括
连续勃起器脊柱平面阻塞 (ESPB) 为胸切除术患者提供有效的术后疼痛控制. 这种方法减少了阿片类药物的使用,并可能缩短住院时间,为管理严重的手术疼痛提供了可行的替代方案.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
背景情况:
- 胸切除术后的疼痛是严重的,并与肺部并发症,死亡率增加和长时间住院有关.
- 目前的疼痛管理策略包括外周注射,副脊椎阻塞和阿片类药物,旨在改善疼痛控制和肺功能.
研究的目的:
- 评估持续勃起器脊柱平面阻塞 (ESPB) 在术后疼痛管理中的有效性.
- 评估ESPB在复杂的大动脉缩修复病例中通过外围神经导管的使用情况.
主要方法:
- 使用外围神经导管进行了连续勃起脊柱平面阻塞 (ESPB).
- 这项技术用于手术后疼痛控制,18岁的患者在侧侧胸切除术和心肺旁路术后.
- 监测了疼痛管理和阿片类药物消费.
主要成果:
- 持续的ESPB提供了大量的多皮肤性感官阻塞.
- 获得了足够的术后疼痛控制.
- 观察到减少了阿片类药物消费和可能更短的住院时间.
结论:
- 持续的ESPB是管理严重的胸切除术后疼痛的可行替代方案.
- 这种区域麻醉技术有效地减少了阿片类药物需求,并可能改善患者的治疗结果.
- 在复杂的胸部手术后,ESPB提供了一种有希望的方法来促进复苏.
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