光学引导的腰椎直立器脊柱 (ESP) 现场块:一种新技术和放射性分析
Scott C Robertson1, Christine Kamm2, Mason Ashley2
1Department of Neurosurgery, Quincy Medical Group, Quincy, Illinois, USA.
World neurosurgery
|March 23, 2024
概括
光学引导的腰部起器脊柱 (ESP) 场块与脂质体布皮瓦卡因为脊柱手术患者提供可靠的疼痛控制. 这种由外科医生管理的技术提供了一致的覆盖,并且很容易被用于术后疼痛管理.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 腰椎起器脊柱 (ESP) 现场阻塞在术后疼痛中很常见.
- 长期起作用的脂质体布皮瓦卡因是多模式疼痛控制的关键.
- 传统上,麻醉科医生使用超声波进行ESP注射.
研究的目的:
- 描述一种光学引导的ESP场阻断技术,用于脊柱手术.
- 评估外科医生为疼痛控制和覆盖而进行的注射.
- 评估这项技术对于脊柱外科医生的可行性.
主要方法:
- 经过腰部融合的60名患者在手术前接受了双边光学引导的ESP阻塞.
- 注射使用脂质体布皮瓦卡因和Iohexal来评估ESP或多管平面的覆盖范围.
- 疼痛是立即测量,并在手术后24小时.
主要成果:
- 在L3-L4的光镜块提供至少4个脊椎水平的覆盖.
- 无论是ESP和多管带平面注射都显示出良好的疼痛控制.
- 观察到一致的肌肉覆盖和疼痛缓解.
结论:
- 外科医生用光学引导的ESP阻塞对脊椎手术疼痛是可靠的.
- 这种技术确保了一致的覆盖和有效的术后疼痛管理.
- 这种方法很容易被脊椎外科医生采用.
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