用于心胸外科手术的带平面块:一个叙事审查
Paolo Capuano1, Giuseppe Sepolvere2, Antonio Toscano3
1Department of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), Palermo, Italy. paolocapuano89@gmail.com.
Journal of anesthesia, analgesia and critical care
|March 12, 2024
概括
带平面块在心胸外科手术中提供有效的疼痛缓解,减少对阿片类药物的依赖. 这些区域麻醉技术增强了患者的康复和满意度,与手术后增强康复 (ERAS) 协议保持一致.
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:
- 对心胸外科手术中阿片类药物限制和风险的认识越来越大.
- 需要改善患者的结果,减少痛苦和更快的恢复.
- 在手术后增强恢复 (ERAS) 协议的开发和实施.
研究的目的:
- 审查心胸外科手术中常见的带平面阻塞技术.
- 在这个环境中提供区域麻醉的概述.
- 为了在胸壁平面块上提供证据,用于心胸手术.
主要方法:
- 关于区域麻醉和带平面阻塞的文献评论.
- 专注于适用于心脏和胸部手术的技术.
- 综合目前关于有效性和安全性的证据.
主要成果:
- 带平面块正在成为多模式止痛的关键组成部分.
- 有证据表明,它在缓解疼痛方面具有有效性和安全性.
- 这些阻塞可以作为传统神经轴阻塞的替代品.
结论:
- 带平面块在心胸外科手术中非常有价值.
- 他们支持手术后增强恢复 (ERAS) 目标.
- 持续的研究支持它们在优化患者护理方面的作用.
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