连续竖立者脊柱平面阻滞置管后血肿1例报告。

IF 0.5 A&A Practice Pub Date : 2022-12-01 DOI:10.1213/XAA.0000000000001653

Emily S Williamson, James A Hughes, Claire M Bentley, Grant A Neely, Nicole M Hollis

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引用次数: 0

摘要

当硬膜外阻滞或椎旁阻滞被抗凝治疗禁忌时，竖立者脊柱平面阻滞(ESPB)被认为是一种安全有效的替代方法。我们报告一例ESPB导管置入后的皮下血肿。患者接受双侧ESPB导管以控制围手术期疼痛。术后患者出现左侧导管触诊压痛。体格检查发现一个边界清晰、波动的肿块，在切开和引流时产生血性物质。本病例报告描述血肿为ESPB的潜在并发症。手术后，应密切监测患者的并发症，包括血肿。

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Hematoma After Continuous Erector Spinae Plane Block With Catheter Placement: A Case Report.

The erector spinae plane block (ESPB) is described as a safe and effective alternative when epidural or paravertebral blocks are contraindicated by anticoagulation therapy. We present a case of subcutaneous hematoma after ESPB catheter placement. The patient received bilateral ESPB catheters for perioperative pain control. Postoperatively, the patient developed tenderness to palpation at the left catheter site. Physical examination revealed a well circumscribed, fluctuant mass that produced bloody material during incision and drainage. This case report describes hematoma as a potential complication of the ESPB. After the procedure, patients should be closely monitored for complications, including hematoma.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.