勃起器脊柱平面阻塞慢性腰椎骨疼痛:一个案例报告
Jamal Hasoon1, Syed Mahmood2, Anvinh Nguyen3
1Department of Anesthesiology, Critical Care, and Pain Medicine The University of Texas Health Science Center at Houston.
Orthopedic reviews
|December 3, 2024
概括
勃起器脊柱平面 (ESP) 块为慢性腰部疼痛提供了一个有前途的新疗法. 这种区域麻醉技术有效地控制了对传统疗法无反应的患者的疼痛.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 慢性腰部疼痛是一种广泛和致残的疾病.
- 传统的治疗方法,如物理治疗,药物和注射,往往失败.
- 勃起器脊柱平面 (ESP) 阻断是一种新兴的区域麻醉技术.
研究的目的:
- 报告ESP阻塞在耐火性慢性腰部疼痛患者的成功使用情况.
- 评估ESP阻断作为另一种干预性疼痛管理策略的有效性.
主要方法:
- 一个60多岁末的男性患者的病例报告,患有慢性腰部疼痛.
- 这位患者曾经经历过多次常规治疗和干预手术的失败.
- 在光镜指导下进行了右侧腰部ESP阻塞.
主要成果:
- 该ESP阻断为患者提供了有效的疼痛管理.
- 该程序显示了有利的安全概况.
- 这个案例表明ESP阻断在治疗慢性腰部疼痛方面的潜力.
结论:
- 阻断ESP是慢性腰部疼痛的一个可行的选择,特别是当其他治疗方法失败时.
- 需要进一步的研究和标准化的协议来确定其在慢性疼痛管理中的作用.
更多相关视频
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
317
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
431
相关概念视频
Local Anesthetics: Clinical Application as Spinal Anesthesia
582
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...
582
Local Anesthetics: Clinical Application as Epidural Anesthesia
411
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
411
