超声导向勃起器脊柱平面块与超声导向儿科关节手术周周囊神经群块的比较:一项随机双盲研究
Tarek A H Mostafa1, Amany F Omara1, Naglaa K Khalil1
1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.
Indian journal of anaesthesia
|July 31, 2024
概括
勃起器脊柱平面 (ESP) 块在儿科部手术后提供了较长的疼痛缓解,而不是周囊神经组 (PENG) 块,减少了救援止痛的需要.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 在接受关节手术的儿童中,术后疼痛往往是严重的,需要多模式止痛.
- 在这些程序中,区域块对于有效的疼痛管理至关重要.
研究的目的:
- 为了比较超声波引导的围囊神经群 (PENG) 阻断与超声波引导的勃起器脊柱平面 (ESP) 阻断的疗效.
- 评估儿童部手术后的疼痛管理策略.
主要方法:
- 一项随机研究涉及56名接受选择性单边部手术的儿童.
- 对ESP和PENG阻断的比较,评估手术期间的血液动力学,阿片类药物消耗,疼痛得分和第一次救援止痛的时间.
主要成果:
- 与PENG块组相比,ESP块组经历了明显更长的时间来首次救助止痛 (P < 0.001).
- 经手术后的吗啡消耗在PENG组显著更高 (P = 0.04).
- 在ESP组中,在术后2小时和4小时观察到较低的疼痛得分,但在8小时时更高.
结论:
- 无论是ESP还是PENG阻断,都能有效地控制儿童部手术后的疼痛.
- 与PENG区块相比,ESP区块在延长第一次救助止痛的时间方面表现出更好的能力.
关键词:
孩子 孩子 孩子 孩子在ESP上,你会看到ESP.企 (PENG PENG) 是一个非常重要的城市.起器脊柱平面块块块块块块块块块块块块块块块块类阿片类止痛药是一种阿片类止痛药.儿科 儿科 儿科疼痛管理 疼痛管理周周囊神经群阻塞块 周周囊神经群阻塞术后疼痛 术后疼痛 术后疼痛超声波超声波是指超声波的使用.更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.5K
08:03Author Spotlight: Developing Cost-Effective and Durable Ultrasound-Guided 3D-Printed Nerve Block Trainers
Published on: February 9, 2024
1.7K
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
384
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
384
Local Anesthetics: Clinical Application as Spinal Anesthesia
605
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
605
