病态肥胖患者前肢截肢围手术期镇痛:双ESP阻滞导管加斜角肌间阻滞

Husien Taleb, Stefan Trela, Mohammad I Ayoub
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引用次数: 0

摘要

直立脊柱平面阻滞(ESPB)是一种新型筋膜平面阻滞,于2016年首次被描述。ESPB被认为是肩部和上背部手术中臂丛阻滞的替代方法,因为竖脊肌延伸到颈椎水平。我们报告了一例34岁,身高6英尺,体重145公斤,BMI为43.5的女性患者,我们成功地将双水平ESPB导管结合单针斜角间肌进行上肢前肢截肢。关键词:竖脊肌平面阻滞,斜角肌间阻滞,病态肥胖,前肢截肢
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Perioperative Analgesia for Forequarter Amputation in a Morbidly Obese Patient: Dual ESP Block Catheters Plus Interscalene Block
Erector spinae plane block (ESPB) is a novel fascial plane block that has been first described in 2016. ESPB has been considered as an alternative for brachial plexus blocks in the shoulder and upper back surgeries as the erector spinae muscle extends to the cervical level. We present a case of a 34-year-old, 6-foot, 145 kg female patient with a BMI of 43.5, for which we successfully inserted dual-level ESPB catheters combined with single shot interscalene for an upper extremity forequarter amputation. Keywords: Erector spinae plane block, Interscalene block, Morbidly obese, Forequarter amputation
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