在胸部勃起器脊柱平面块后注射传播的解剖学见解:系统性审查
Haoyuan Lim1, Christopher Mathew1, Suei Nee Wong2
1Division of Anesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore.
Journal of clinical anesthesia
|November 4, 2024
概括
起器脊柱平面块 (ESPB) 始终向起器脊柱平面 (ESP) 注射,但不太可靠地向其他空间传播. 这次系统审查澄清了ESPB的情况.
科学领域:
- 麻醉学 麻醉学
- 人体解剖学 解剖学 解剖学
- 疼痛管理 疼痛管理
背景情况:
- 勃起器脊柱平面块 (ESPB) 的使用越来越多,但其确切的作用机制仍然不清楚.
- 虽然最初的理论提议扩散到椎空间 (PVS),但最近的证据是不一致的.
- 本系统性审查调查了继胸部ESPB之后的注射传播模式.
研究的目的:
- 系统地审查和量化胸部勃起器脊柱平面块后的注射扩散.
- 为了确定扩散到起器脊柱平面 (ESP),准脊椎空间 (PVS),肋间空间 (ICS) 和外周空间 (ES) 的比例和程度.
主要方法:
- 在PubMed,Scopus和EMBASE进行了系统的文献搜索.
- 包括的研究检查了成年患者通过剖析或成像进行注射传播的研究.
- 测量的主要结果是ESP,PVS,ICS和ES中传播的比例和程度.
主要成果:
- 该审查分析了29项研究 (113具尸体,79名志愿者).
- 始终观察到注射到ESP的传播 (比例=1).
- 向PVS (0.57),ICS (0.51) 和ES (0.38) 的传播不太一致,平均传播分别为3.5,5.6和3.1的脊柱水平.
结论:
- 胸部ESPB可靠地在ESP区内实现注射剂的传播.
- 扩散到PVS,ES和ICS区间的可预测性较低.
- 初步数据表明,较长的评估时间可能与增加的PVS传播相关.
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