在儿科 inguinal Hernia 中用于止痛的四肢平面块:一个案例报告
Volkan Özen1, Engin İhsan Turan2, Taylan Kirdan1
1From the Department of Anesthesiology, Prof Dr Cemil Taşçioğlu City Hospital, Istanbul, Turkey.
A&A practice
|June 23, 2025
概括
四骨平面阻塞 (QIPB) 提供了有效的术后疼痛缓解,用于儿科 inguinal hernia 修复. 这种超声波指导的技术在肥胖儿童中证明了长时间的止痛,最大限度地减少了额外的止痛药的需要.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 区域麻醉 区域麻醉
背景情况:
- 儿科手术中的术后疼痛管理仍然是一个挑战.
- 肥胖症可能会使儿童地区区块的地标识别变得复杂.
- 四骨平面阻塞 (QIPB) 是一种新的区域麻醉技术.
研究的目的:
- 描述QIPB在儿科患者的术后止痛中首次报告的使用情况.
- 评估QIPB在接受 inguinal hernia修复的肥胖儿童中的有效性和可行性.
主要方法:
- 超声导向双边QIPB在9岁的肥胖男性中进行.
- 0.25%的布皮瓦卡因 (0.3毫升/公斤) 用于阻断.
- 术后疼痛的评估是使用面部,腿部,活动,哭泣,安慰度 (FLACC) 尺度.
主要成果:
- 患者不需要除了手术时使用的降醇之外的额外止痛药.
- 在术后24小时记录了2的FLACC得分,表明疼痛最小.
- 尽管患者肥胖,但解剖学里程碑的超声波可视化始终得到实现.
结论:
- 在儿科患者中,QIPB可以提供有效和长时间的止痛.
- 这种技术在肥胖儿童中是可行的,在超声波下可以看到明显的解剖学标志.
- 需要进一步的研究来证实QIPB在儿科患者群体中的有效性和安全性.
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