对表面的副侧肋间平面块块的解剖学评估
Monica Harbell1, James A Nelson2, Natalie R Langley3
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, Arizona, USA Harbell.Monica@mayo.edu.
Regional anesthesia and pain medicine
|August 22, 2024
概括
表面侧肋间平面 (SPIP) 块显示,染料在尸体中的传播有限. 有效的前胸部麻醉可能需要多次SPIP注射.
科学领域:
- 麻醉学 麻醉学
- 人体解剖学 解剖学 解剖学
- 超声波导向区域麻醉.
背景情况:
- 有限的尸体研究存在于表面侧横侧肋间平面 (SPIP) 阻断染料传播.
- 在前胸部手术中使用SPIP块.
研究的目的:
- 在人体尸体模型中评估超声波引导的SPIP块的染料传播.
- 为了比较SPIP块的单注射技术和双注射技术.
主要方法:
- 超声波引导的SPIP块在七个未经修复的人类尸体上进行.
- 使用单次注射 (20毫升) 和双次注射 (10毫升+10毫升) 的甲基蓝.
- 染料在Pec大肌肉和内部肋间肌肉之间的平面内注射后,染料的扩散被记录在案.
主要成果:
- 观察到从胸骨到关节中线的一致的中侧扩散.
- 头骨尾部扩张覆盖了2个肋间肌肉 (单) 和3个 (双) 的中位数.
- 发现中位分布在1条肋间神经 (单) 和1.5条 (双) 之间.
结论:
- 在这项尸体研究中,表面侧横侧肋间平面 (SPIP) 阻断显示出有限的传播.
- 一次SPIP注射可能具有有限的效用.
- 在前胸部手术中,可能需要多次SPIP注射以获得足够的覆盖.
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