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Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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对于机器人辅助胸部手术的疼痛管理方法:回顾性分析

Michael Alexander Semyonov1,2, Moshe Shmueli2,3, Alexander Smirnov1,2

  • 1Department of Anesthesiology and Critical Care, General Intensive Care Unit, Soroka Medical Center, Beer Sheva, Israel.

Journal of pain research
|November 20, 2025
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概括

勃起器脊柱平面 (ESP) 和状前平面 (SAP) 块为机器人辅助胸部手术 (RATS) 提供了卓越的疼痛管理. 这些区域麻醉技术与全身麻醉 (GA) 相比,可以减少术后疼痛和阿片类药物消耗.

关键词:
起器脊柱平面块块块块块块块块块块块块块块块块使用阿片类药物使用.准脊椎阻塞 准脊椎阻塞术后疼痛 术后疼痛 术后疼痛区域麻醉地区麻醉机器人辅助胸部外科手术是如何进行的胸部外周外注 胸部外周外注

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科学领域:

  • 麻醉学 麻醉学
  • 胸部外科手术 胸部外科手术
  • 疼痛管理 疼痛管理

背景情况:

  • 机器人辅助胸部手术 (RATS) 是一个不断增长的手术.
  • 优化疼痛管理对于RATS患者至关重要.
  • 区域麻醉技术是全身麻醉 (GA) 的替代方案.

研究的目的:

  • 在RATS中比较区域麻醉技术的镇痛效果与GA.
  • 评估与不同疼痛管理策略相关的术后结果.

主要方法:

  • 对158名接受选择性RATS.的成年患者进行了回顾性队列研究.
  • 组:胸部外周止痛疗法 (TEA),胸部准脊椎阻断 (PVB),勃起器脊柱平面 (ESP) 阻断,塞拉图前面平面 (SAP) 阻断,或单独GA.
  • 主要结局:术后疼痛 (VAS) 和阿片类药物消费. 二次结果:血液动力学稳定,并发症,住院时间.

主要成果:

  • 与GA相比,ESP和SAP块的麻醉后护理单位 (PACU) 吗啡使用量和VAS得分明显较低.
  • 与GA相比,PVB还显示疼痛得分降低.
  • TEA和PVB与更频繁的低血压和血管压缩剂使用有关.
  • ESP和SAP块保持了更好的血液动力学稳定性.

结论:

  • 在RATS中,ESP和SAP块有效控制疼痛,减少疼痛和阿片类药物需求.
  • 这些区域技术比GA提供了更好的血液动力稳定性.
  • 由于某些组的样本规模较小,需要进行进一步的前性研究.