低音三角形:对直肠外块的一个新的超声波地标
Balkarn S Thind1, Stefan G Simon, Andrew T Gray
1From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California.
A&A practice
|April 4, 2024
概括
直肠外块为腹部手术提供疼痛缓解. 一种新的超声波技术识别了低声三角形,改善了针头的放置,并可能增加阻断成功率,以获得更好的患者止痛.
科学领域:
- 麻醉学 麻醉学
- 超声波指导的程序 超声波指导的程序
- 手术疼痛管理手术疼痛管理
背景情况:
- 直肠块用于腹部上部中线切口镇痛.
- 目前的阻断成功率很低,原因是局部麻醉剂的精确放置存在挑战.
- 现有的方法可能需要水解剖来确定正确的形平面.
研究的目的:
- 为了表征超声波低声三角形,以改善直肠罩块的放置.
- 为局部麻醉药物提供一个离散的目标,增强阻断疗效.
- 潜在地减少对水解剖的依赖,以准确地插入针和导管.
主要方法:
- 一个特定的低声三角形的超声波特征.
- 确定直肠腹部段之间的可访问的解剖空间.
- 利用这个空间改进了针尖和导管的放置.
主要成果:
- 使用超声波识别出一个明显的低声三角形.
- 这种解剖空间为针头和导管插入提供了可靠的目标.
- 这种方法使局部麻醉剂的输送更容易,并可能更准确.
结论:
- 已识别的低声三角形为改进的直肠外阻断技术提供了目标.
- 这种超声波方法可以提高阻断效率并减少程序上的困难.
- 这种方法可以提供一种更可靠的替代方案,在腹部手术中实现镇痛.
相关概念视频
Ultrasonography
4.5K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.5K
Abdominal Regions and Quadrants
8.1K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.1K
Imaging Studies for Cardiovascular System II:Types of Echocardiography
258
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
258


