超声波导向的四角形平面块:另一种新的形平面块
Serkan Tulgar1, Bahadir Ciftci2,3, Ali Ahiskalioglu4
1Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, Samsun Training and Research Hospital, Samsun, 55020, Turkey.
小说中的四角-阴道平面 (QIP) 块显示了减轻腰部,腹部和部疼痛的有希望的结果. 这项对尸体的研究表明,染料分布广泛,这表明这些区域具有有效的止痛作用.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 人体解剖学 解剖学 解剖学
背景情况:
- 对于腰部,腹部和部区域的有效止痛仍然是一个临床挑战.
- 为了改善疼痛管理结果,不断探索新的阻断技术.
研究的目的:
- 为了引入和评估一个新的区块技术的传播,四边形平面 (QIP) 区块.
- 评估QIP块在腰部,腹部和部区域提供镇痛的潜力.
主要方法:
- 在实验室环境中进行了一项尸体研究.
- 双边超声指导的四方-伊利亚克平面块在一个未经保真的尸体上进行.
- 40毫升0.5%的甲蓝被注射到每一侧,以可视化染料的传播.
主要成果:
- 染料广泛分布在直立脊柱肌的深层面际平面和四角腰肌 (QLM) 的后面方面.
- 观察到显著的透到后皮质脂肪组织,以及 ilioinguinal 和 iliohypogastric 神经的染色.
- 椎间盘和横向过程的深部区域也被双边染色.
结论:
- 针对QLM的后侧面的四边形-意利亚克平面块,可以提供广泛的局部麻醉传播.
- 这种技术显示出潜在的潜力,作为一种有前途的选择,用于管理腰部,下腹部和部区域的急性和慢性疼痛.
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