勃起器脊柱平面阻塞作为急性痛的止痛药
1Manchester Royal Infirmary, Manchester, UK alice.barrett@mft.nhs.uk.
Emergency medicine journal : EMJ
|April 8, 2025
概括
勃起器脊柱平面块 (ESPB) 在紧急情况下为患有结的成年人提供有效的疼痛缓解. 这种镇痛选择适用于初始疼痛管理和耐火病例.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 结是急诊室急性疼痛的重要来源.
- 对痛进行有效的镇痛对于患者的舒适性和及时治疗至关重要.
- 勃起器脊柱平面块 (ESPB) 是一种区域麻醉技术,具有潜在的止痛应用.
研究的目的:
- 系统地审查勃起器脊柱平面块 (ESPB) 的有效性,以管理成人急诊室患者的痛疼痛.
主要方法:
- 通过使用MEDLINE,EMBASE,谷歌学者和PubMed进行了系统的文献搜索.
- 包括的研究包括随机对照试验,病例系列,元分析和个人病例报告.
- 提取的数据包括患者人口统计,关键结果和研究局限性.
主要成果:
- 该审查确定了两个随机对照试验,两个病例系列,一个元分析和一个病例报告.
- 研究结果表明,ESPB是初始痛的有效止痛药.
- 此外,ESPB还在治疗与结相关的耐火性疼痛方面表现出有效性.
结论:
- 勃起器脊柱平面阻塞 (ESPB) 是在急诊室治疗痛的可行且有效的止痛策略.
- 建议进行进一步的研究,包括成本效益分析,以评估ESPB是否适合在管理中常规临床使用.
相关概念视频
Local Anesthetics: Clinical Application as Spinal Anesthesia
559
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...
559
Classification of Skeletal Muscle Relaxants
2.3K
Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
2.3K
Skeletal Muscle Relaxants: Therapeutic Uses
443
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
443
Local Anesthetics: Clinical Application as Epidural Anesthesia
400
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...
400
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
330
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
330
Abdominal Regions and Quadrants
6.8K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
6.8K


