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区域麻醉领域过去十年的闪耀之星 第一部分:用于乳腺、胸科和骨科手术的筋膜间平面阻滞

The Shining Star of the Last Decade in Regional Anesthesia Part-I: Interfascial Plane Blocks for Breast, Thoracic, and Orthopedic Surgery.

作者信息

Ahiskalioglu Ali, Yayik Ahmet Murat, Celik Erkan Cem, Aydin Muhammed Enes, Ciftci Bahadir, Oral Ahiskalioglu Elif, Bilal Bora, Narayanan Madan, Tulgar Serkan

机构信息

Department of Anaesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University Faculty of Medicine, Erzurum, Turkey.

Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University Faculty of Medicine, Erzurum, Turkey.

出版信息

Eurasian J Med. 2022 Dec;54(Suppl1):97-105. doi: 10.5152/eurasianjmed.2022.22321.

Abstract

Regional anesthesia has benefits beyond just treating acute postoperative pain. Interfascial plane blocks, which have been very popular with ultrasound in recent years, function primarily by administering a high volume of a local anesthetic to the fascial plane. Contrary to traditional peripheral nerve blocks, the targeted nerve or structure in interfacial plane blocks is not fully defined, and the indications have not been fully revealed yet. Anatomical, cadaveric, and radiological studies show how effective the interfascial plane blocks play a role. This review focuses on the benefits, techniques, indications, and complications of interfascial plane blocks in the context of breast, thoracic, and orthopedic surgery.

摘要

区域麻醉的益处不仅仅局限于治疗术后急性疼痛。近年来,筋膜平面阻滞在超声引导下非常流行,其主要作用机制是在筋膜平面注射大量局部麻醉药。与传统的外周神经阻滞不同,筋膜平面阻滞中所针对的神经或结构尚未完全明确,其适应证也尚未完全揭示。解剖学、尸体研究和影像学研究表明了筋膜平面阻滞发挥作用的有效性。本综述重点关注在乳腺、胸科和骨科手术背景下筋膜平面阻滞的益处、技术、适应证及并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b51/11163362/768931b59182/eajm-54-S1-S97_f001.jpg

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