肩胛骨-肱骨营养不良患者肩胛骨-胸椎关节融合术的竖脊椎平面阻滞:一个病例系列。

IF 0.5 A&A Practice Pub Date : 2023-02-01 DOI:10.1213/XAA.0000000000001662

Yavuz Gürkan, Yasemin Sincer, Mete Manici, Cemil Cihad Gedik, İlker Eren, Mehmet Demirhan

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摘要

肩胛骨肱骨营养不良(FSHD)通常影响肩胛骨周围肌肉，导致肩胛骨翅。肩胛骨固定术(STA)稳定肩胛骨，为这些患者提供更好的活动。本研究回顾性分析了FSHD患者接受单次勃起脊柱平面阻滞(ESPB)和该区域导管的镇痛方案。患者被要求对其术后疼痛进行评分，10例患者中只有5例需要救援镇痛药。无并发症发生。我们的经验表明，持续ESPB可能有助于为接受STA治疗的FSHD患者提供镇痛。

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Erector Spinae Plane Block for Scapulothoracic Arthrodesis for Facioscapulohumeral Dystrophy Patients: A Case Series.

Facioscapulohumeral dystrophy (FSHD) typically affects the periscapular muscles, resulting in scapular winging. Scapulothoracic arthrodesis (STA) stabilizes the scapula to provide better movement for these patients. Analgesia regimen for FSHD patients who received a single-shot erector spinae plane block (ESPB) and a catheter at the area were retrospectively analyzed in this study. Patients were asked to rate their pain postoperatively and only 5 of 10 patients needed rescue analgesic. No complications occurred. Our experience suggests that continuous ESPB may be helpful for providing analgesia in FSHD patients undergoing STA.

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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.