勃起器脊柱平面阻塞用于子的外科手术止痛
Silvia Scialanca1,2, Giulia Bersanetti2, Salvatore Parrillo1
1Small Animal Surgery and Anaesthesia Service, Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy.
Veterinary sciences
|October 28, 2025
概括
本案例报告证明了勃起器脊柱平面 (ESP) 块在接受脊柱手术的子中成功用于疼痛控制. ESP阻断提供了有效的止痛药,减少了在外科期间需要阿片类药物的需要.
科学领域:
- 兽医麻醉学 兽医麻醉学
- 异国动物的疼痛治疗方法
- 区域麻醉技术 区域麻醉技术
背景情况:
- 在子中,脊柱减压手术可能会导致显著的外科手术期间疼痛.
- 有效的疼痛管理对于经历脊柱手术的子成功康复至关重要.
- 目前的多模式止痛策略可能需要对子进行优化.
研究的目的:
- 评估超声导向勃起脊柱平面 (ESP) 阻断在接受脊柱减压手术的子中为外科手术期间止痛的疗效.
- 评估ESP阻断对手术内血动力学和术后阿片类药物需求的影响.
- 探索ESP阻塞作为子多模式止痛方案的一部分潜力.
主要方法:
- 一只6岁的双肢子接受了L2-L3脊柱减压手术.
- 在L3水平上使用0.4毫升/千克0.5%的罗皮瓦卡因进行了超声导向双边ESP阻断.
- 监测了手术期间的血液动力学和术后的疼痛评分.
- 经手术后的阿片类药物被记录下来.
主要成果:
- 在ESP块提供有效的手术内止痛.
- 在整个手术过程中,血液动力学保持稳定.
- 子经历了顺利的术后恢复,无需使用阿片类止痛药.
- 通过ESP阻断,成功地减少了对外科期阿片类药物的需求.
结论:
- 超声导向勃起器脊柱平面 (ESP) 阻断是一种潜在的有效技术,用于经历脊柱手术的子的术后止痛.
- 阻断ESP可能会降低阿片类药物需求,并有助于子更顺利的恢复.
- 需要进一步的研究,以确定ESP块在较大的子群体中的安全性和有效性.
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