Ultrasound-Guided Transverse Thoracic Muscle Plane Block for Awake Sternum Revision in a Post-COVID Patient

Q4 Medicine Anestezi Dergisi Pub Date : 2022-04-28 DOI:10.54875/jarss.2022.60465
Y. E. Karapinar, Ela Nur Medetoglu, Mırac Selcen Ozkal, M. E. Aydin, A. Ahıskalıoğlu
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引用次数: 2

Abstract

After cardiac surgeries performed with sternotomy, neuraxial techniques, fascial plane blocks and intravenous analgesics are often used for both accelerating wound healing and early recovery of lung functions by providing effective postoperative analgesia. In this case report, we share a case of sternal revision performed with sedation and transversus thoracic muscle plane block (TTMPB) in an ASA III patient who required sternum revision after coronary artery bypass graft (CABG) surgery but had limited lung capacity due to previous COVID-19 pneumonia, considering that general anesthesia would be high-risk.
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超声引导下胸横肌平面阻滞用于covid后患者清醒胸骨翻修
在胸骨切开术进行心脏手术后,经常使用神经轴技术、筋膜平面阻滞和静脉镇痛药,通过提供有效的术后镇痛来加速伤口愈合和肺功能的早期恢复。在本病例报告中,我们分享了一例ASA III患者的胸骨翻修术,该患者在冠状动脉搭桥术(CABG)后需要进行胸骨翻修,但由于之前患有新冠肺炎肺炎,肺活量有限,考虑到全身麻醉是高风险的,因此在镇静和经胸肌肉平面阻滞(TTMPB)的情况下进行胸骨翻修。
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来源期刊
Anestezi Dergisi
Anestezi Dergisi Medicine-Anesthesiology and Pain Medicine
CiteScore
0.20
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0.00%
发文量
45
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