连续勃起器脊柱平面阻断用于肠切除和修复手术后的术后止痛:一个病例报告
Gundega Ose1,2, Irina Evansa2,3, Edgars Krivmanis3
1Department of Residency, Riga Stradins University, Riga, Latvia.
The American journal of case reports
|September 12, 2025
概括
连续的双边勃起器脊柱平面 (ESP) 阻断有效地管理了复杂患者的严重术后疼痛. 这种止痛方法被证明是可靠的,即使在手术后管理抗凝剂的挑战.
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:
- 勃起脊柱平面 (ESP) 阻断是一种多功能止痛技术.
- 它可以作为外周麻醉的替代品,特别是当其他方法失败时.
- 在多重病症患者中治疗术后疼痛存在重大临床挑战.
研究的目的:
- 详细说明持续双边ESP阻断在拉巴切除术后患者的有效使用.
- 为了解决多发病症和术后抗凝剂管理的复杂性.
- 评估ESP阻断作为广泛的腹部手术中的疼痛管理策略.
主要方法:
- 一名64岁的男性患者接受了复杂的腹部手术 (带肠切除的椎整形手术).
- 持续的双边ESP阻断是在Th11级使用布皮瓦卡因输液开始的.
- 导管在双边放置,用于长时间的止痛.
主要成果:
- 患者经历了严重的术后疼痛,需要重症监护.
- 双边ESP阻断在手术后提供了有效的疼痛缓解.
- 尽管患者需要立即服用抗凝剂,但ESP阻塞导管没有引起并发症.
结论:
- 使用双边导管进行长期ESP阻塞是一种可靠和有效的方法,可以缓解长期的疼痛.
- 这种技术适用于接受广泛腹部手术的患者.
- 阻断ESP提供了安全的止痛选择,即使在需要抗凝药的并发症患者中也是如此.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
577
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
577
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
1.3K
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...
1.3K