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心脏手术的区域麻醉技术:我们在哪里?

Regional anesthesia techniques for cardiac surgery: where are we?

机构信息

Department of Anesthesiology, Tufts Medical Center, 800 Washington St., Boston, Massachusetts, USA.

出版信息

Curr Opin Anaesthesiol. 2022 Aug 1;35(4):485-492. doi: 10.1097/ACO.0000000000001161. Epub 2022 Jul 5.

Abstract

PURPOSE OF REVIEW

Inadequate pain relief after cardiac surgery results in decreased patient experience and satisfaction, increased opioid consumption with its associated adverse consequences, and reduced efficiency metrics. To mitigate this, regional analgesic techniques are an increasingly important part of the perioperative cardiac anesthesia care plan. The purpose of this review is to compare current regional anesthesia techniques, and the relative evidence supporting their efficacy and safety in cardiac surgery.

RECENT FINDINGS

Numerous novel plane blocks have been developed in recent years, with evidence of improved pain control after cardiac surgery.

SUMMARY

The current data supports the use of a variety of different regional anesthesia techniques to reduce acute pain after cardiac surgery. However, future randomized trials are needed to quantify and compare the efficacy and safety of different regional techniques for pain control after cardiac surgery.

摘要

目的综述

心脏手术后疼痛缓解不足会导致患者体验和满意度下降,阿片类药物消耗增加及其相关不良后果,以及效率指标降低。为了减轻这种情况,区域镇痛技术是围手术期心脏麻醉护理计划中越来越重要的一部分。本综述的目的是比较当前的区域麻醉技术,以及支持其在心脏手术中有效性和安全性的相对证据。

最近的发现

近年来开发了许多新的平面阻滞技术,有证据表明心脏手术后疼痛控制得到改善。

总结

目前的数据支持使用多种不同的区域麻醉技术来减轻心脏手术后的急性疼痛。然而,需要未来的随机试验来量化和比较不同区域技术在心脏手术后疼痛控制方面的疗效和安全性。

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