胸部神经区块II用于心脏植入式电子设备
Shehzad Zafar1, Rubaiqa Khan2, Muhammad Ali Akbar3
1Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
概括
胸部神经 (PECS) II阻断辅助心脏植入式电子设备 (CIED) 插入,为大多数患者提供有效的疼痛缓解. 虽然它没有完全取代麻醉,但它改善了手术期间的体验和患者的满意度.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 疼痛管理 疼痛管理
背景情况:
- 心脏植入式电子设备 (CIED) 的插入是常见的.
- 在CIED手术期间有效的疼痛管理对于患者的舒适和康复至关重要.
- 胸部神经 (PECS) II块是一种区域麻醉技术,有可能用于胸部手术.
研究的目的:
- 评估PECS II块在CIED插入中的可行性和有效性.
- 为了确定没有额外的手术内局部麻醉完成的CIED手术的百分比.
- 评估二次结果,包括疼痛,止痛和患者满意度.
主要方法:
- 120名接受CIED插入的患者接受了超声波引导的PECS II块.
- 可行性被定义为没有补充局部麻醉的完成.
- 结果包括麻醉剂量,阿片类药物使用,疼痛评分和患者满意度.
主要成果:
- 65%的患者需要额外的手术内局部麻醉 (中位数为8.2毫升).
- 12.5%需要手术期间服用阿片类药物补充剂,7.5%需要手术后服用特拉马多尔.
- 81.7%的患者表示对手术的满意度高.
结论:
- 与补充局部麻醉剂一起的PECS II块至少为24小时提供了有效的术后止痛.
- 在大多数情况下,它并没有消除对外科麻醉的需要.
- PECS II 块有助于更顺的手术内体验和高患者满意度.
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