Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Best Pract Res Clin Anaesthesiol. 2019 Sep;33(3):303-315. doi: 10.1016/j.bpa.2019.08.001. Epub 2019 Aug 8.
Many novel interfascial plane blocks have been developed in the last 10 years in the effort to improve perioperative pain management that are safe, efficacious, efficient, and inexpensive. These blocks have been widely adopted into clinical practice despite relatively few high-quality clinical investigations of the techniques and how they affect perioperative outcomes. This article defines interfascial plane blocks, discusses the potential benefits, reviews the most common techniques and evidence supporting their indication, and guides clinicians in selecting an appropriate interfascial plane block for different types of surgical procedures.
在过去的 10 年中,人们开发了许多新的筋膜间平面阻滞技术,以改善围手术期疼痛管理,这些技术安全、有效、高效且经济实惠。尽管这些技术的临床研究相对较少,也未能深入了解其对围手术期结局的影响,但这些阻滞技术已广泛应用于临床实践中。本文定义了筋膜间平面阻滞,讨论了其潜在的益处,回顾了最常见的技术及其适应证的证据,并为临床医生选择不同类型手术的合适筋膜间平面阻滞提供了指导。