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前横腹部平面块用于下肢再血管化
Carmelina Gurrieri1, Ghaith Almhanni2, Indrani Sen2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Health System, Eau Claire, Wisconsin.
The Journal of surgical research
|December 11, 2024
概括
前横腹部平面 (TAP) 块与局部麻醉减少了阿片类药物的使用和住院在下肢再血管患者. 这种区域麻醉技术为术后疼痛管理提供了安全有效的选择.
科学领域:
- 麻醉学 麻醉学
- 血管外科 血管外科
- 疼痛管理 疼痛管理
背景情况:
- 区域麻醉在血管外科手术中没有得到充分利用.
- 在外科手术期间使用阿片类药物是下肢再血管化的担忧.
- 这项研究将阿片类药物消费与区域麻醉和没有区域麻醉进行比较.
研究的目的:
- 在接受下肢再血管化的患者中比较外科期间的阿片类药物使用情况.
- 为了评估前横腹部平面 (TAP) 阻断与局部麻醉相结合的有效性.
- 评估区域麻醉对住院和阿片类药物需求的影响.
主要方法:
- 对107名接受下肢再血管化的患者 (2017-2022) 的回顾性审查.
- 两个组:区域块 (前TAP块+局部麻醉) 和没有区域块.
- 程序指标,并发症,住院和阿片类药物使用的比较.
主要成果:
- 在程序指标或程序内并发症方面没有显著差异.
- 在区域区块组中,住院时间较短 (1对3天,P<0.001).
- 在24小时,48小时和72小时的区域区组中,手术内和手术后阿片类药物使用显著降低 (P < 0.001,P = 0.027,P = 0.010).
结论:
- 带有局部麻醉的前TAP阻塞是一种安全的术后止痛选择.
- 这种区域麻醉方法可以减少手术内和手术后的阿片类药物需求.
- 对于接受下肢再血管化手术的患者,应考虑区域麻醉.
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