块:在囊内骨折中治疗疼痛的优质替代方案
Paula Gil Esteller1,2, Carles Espinós Ramírez2,3, Miquel Juarez-Pomes3
1Department of Anesthesiology, Terrassa University Hospital, Terrassa, Spain.
Saudi journal of anaesthesia
|April 21, 2025
概括
周周囊神经组 (PENG) 阻断在骨骨折的部手术后提供了优异的疼痛缓解,与上下上下侧膜阻断 (FICB) 相比. 接受PENG阻塞的患者经历了较少的疼痛,并在手术后需要更少的阿片类药物.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 区域性镇痛对于部手术后的疼痛至关重要.
- 之前的研究没有区分骨折亚型.
- 周囊神经群 (PENG) 阻断和上下上膜 (FICB) 阻断是关键的区域技术.
研究的目的:
- 为了比较PENG阻断与FICB在外科术周止痛的有效性.
- 为了评估患有内骨折的患者的疼痛管理.
- 评估术后疼痛评分和阿片类药物消耗.
主要方法:
- 展望性,比较的队列研究.
- 64名内骨折患者被随机分配到PENG或FICB块.
- 主要结局:疼痛评分 (康复室,24小时);次要结局:阿片类救援药物使用.
主要成果:
- PENG组在手术后立即 (P=0.006) 和24小时 (P<0.001) 显示疼痛得分明显较低.
- 在PENG组中,24小时内需要服用弱阿片类药物的患者较少 (P=0.001).
结论:
- 格阻断为囊内骨折提供优质的术后止痛.
- 与FICB相比,与PENG阻断剂一起观察到减少了阿片类药物消费.
- 格阻断对于这种患者群体来说是一种更有效的区域止痛技术.
更多相关视频
06:17Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
Published on: April 12, 2022
3.6K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
323
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...
323
Fractures: Bone Repair
2.8K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.8K
Blood and Nerve Supply to the Bones
10.4K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
10.4K
