竖脊平面导管用于治疗多发肋骨骨折的疼痛:钝性胸外伤病例的轶事记录。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI:10.14744/agri.2020.39327
Hande Gürbüz, Nalan Demir
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引用次数: 1

摘要

高能胸壁创伤通常导致多发肋骨骨折,发病率和死亡率高。多发肋骨骨折患者的肺部发病是由于肺挫伤区域的气体交换受损以及剧烈疼痛导致的呼吸力学受损。因此,镇痛在肋骨骨折的治疗中起着关键作用。竖脊平面(ESP)阻滞是一种新出现的技术,已在急诊科用于治疗后肋骨骨折。在重症监护病房接受抗凝治疗的患者可以使用ESP阻滞,因为相关区域位于相对浅表且远离主要血管结构。在这篇报道中,我们介绍了3例多处肋骨骨折患者的轶事记录,他们从ESP阻滞中获得了真正的好处。本报告强调了单侧注射后感觉阻滞的双侧程度,ESP阻滞对机械通气脱机的影响,以及插入ESP导管后动脉血气分析的显着改善。
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Erector spinae plane catheter for pain management of multiple rib fractures: Anecdotal records of cases with blunt chest trauma.

High-energy chest wall traumas usually lead to multiple rib fractures associated with high morbidity and mortality. Pulmonary morbidity in patients with multiple rib fractures results from the impaired gas exchange from the pulmonary contusion areas and compromised breathing mechanics as a result of severe pain. Thus, analgesia plays a key role in the management of rib fractures. Erector spinae plane (ESP) block is a newly described technique and it has come into use in emergency departments for posterior rib fractures. ESP blocks can be administered in patients under anticoagulant therapy in the intensive care unit because the relevant area is located relatively superficial and far from the major vascular structures. In this report, anecdotal records of three patients with multiple rib fractures who had real benefits from ESP blocks are presented. This report highlights the bilateral extent of the sensory block after unilateral injection, the effect of ESP blocks on weaning from mechanical ventila-tion, and dramatic improvement in arterial blood gases analysis following ESP catheter insertion.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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