骨盆平面阻滞治疗逆行肾内手术患者术后疼痛:1例报告。

IF 0.6 Q4 ANESTHESIOLOGY A&A practice Pub Date : 2025-02-28 eCollection Date: 2025-03-01 DOI:10.1213/XAA.0000000000001925
Engin İhsan Turan, Halil Güler, Volkan Özen, Ayça Sultan Şahin
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引用次数: 0

摘要

无阿片类镇痛对于高危患者(如上呼吸道恶性肿瘤患者)预防呼吸道并发症至关重要。Quadroiliac Plane Block (QIPB)提供了一个有效的替代方案。一位43岁女性舌底癌患者在脊髓麻醉下行逆行肾内手术。术后,单侧QIPB加50mg 0.25%布比卡因提供疼痛控制。用数字评定量表测量的疼痛水平在不使用阿片类药物的24小时内稳步下降。QIPB有效地为该高危患者提供无阿片类镇痛,提示其在类似病例围手术期疼痛管理中的潜力。
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Quadroiliac Plane Block for Postoperative Pain Management in a Patient Undergoing Retrograde Intrarenal Surgery: A Case Report.

Opioid-free analgesia is crucial for high-risk patients, such as those with upper airway malignancies, to prevent respiratory complications. The Quadroiliac Plane Block (QIPB) offers an effective alternative. A 43-year-old female with base of tongue cancer underwent retrograde intrarenal surgery (RIRS) under spinal anesthesia. Postoperatively, a unilateral QIPB with 50 mg of 0.25% bupivacaine provided pain control. Pain levels, measured with the Numeric Rating Scale, decreased steadily over 24 hours without opioid use. QIPB effectively provided opioid-free analgesia for this high-risk patient, indicating its potential in perioperative pain management for similar cases.

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来源期刊
A&A practice
A&A practice Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
126
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