{"title":"超声引导竖脊平面导管开胸术1例","authors":"A. Usman, A. Khan, M. Ijaz","doi":"10.35975/apic.v25i6.1707","DOIUrl":null,"url":null,"abstract":"Major thoracic surgery results in severe postoperative pain. Epidural analgesia is considered the gold standard for pain management after thoracic surgery. However, epidural blocks are contraindicated in certain clinical conditions. Pain management in such patients poses a unique challenge to the anesthesiologists. Erector spinae plane block (ESPB) is a less invasive and relatively new technique, which has shown promising results. This case report describes the use of ESPB as an alternate analgesic technique. A 65-year-old man underwent thoracotomy and left upper lobe resection. Intraoperative and postoperative pain was managed with intermittent boluses of bupivacaine through the erector spinae plane catheter. Effective analgesia was achieved with minimal morphine consumption in postoperative period. Although central neuraxial blocks are considered to be gold standard for major thoracic surgery but where applicable, alternatives can be opted for better patient outcomes. \nKey words: Analgesia; Erector spinae plane block; Thoracotomy; Pain control; Neuraxial analgesia \nCitation: Usman A, Khan AW, Ijaz MK. Ultrasound guided erector spinae plane catheter for thoracotomy: a case report. Anaesth. pain intensive care 2021;25(6):812–815; \nDOI: 10.35975/apic.v25i6.1707 \nReceived: August 16, 2021, Reviewed: October 28, 2021, Accepted: October 31, 2021","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasound guided erector spinae plane catheter for thoracotomy: a case report\",\"authors\":\"A. Usman, A. Khan, M. Ijaz\",\"doi\":\"10.35975/apic.v25i6.1707\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Major thoracic surgery results in severe postoperative pain. Epidural analgesia is considered the gold standard for pain management after thoracic surgery. However, epidural blocks are contraindicated in certain clinical conditions. Pain management in such patients poses a unique challenge to the anesthesiologists. Erector spinae plane block (ESPB) is a less invasive and relatively new technique, which has shown promising results. This case report describes the use of ESPB as an alternate analgesic technique. A 65-year-old man underwent thoracotomy and left upper lobe resection. Intraoperative and postoperative pain was managed with intermittent boluses of bupivacaine through the erector spinae plane catheter. Effective analgesia was achieved with minimal morphine consumption in postoperative period. Although central neuraxial blocks are considered to be gold standard for major thoracic surgery but where applicable, alternatives can be opted for better patient outcomes. \\nKey words: Analgesia; Erector spinae plane block; Thoracotomy; Pain control; Neuraxial analgesia \\nCitation: Usman A, Khan AW, Ijaz MK. Ultrasound guided erector spinae plane catheter for thoracotomy: a case report. Anaesth. pain intensive care 2021;25(6):812–815; \\nDOI: 10.35975/apic.v25i6.1707 \\nReceived: August 16, 2021, Reviewed: October 28, 2021, Accepted: October 31, 2021\",\"PeriodicalId\":7735,\"journal\":{\"name\":\"Anaesthesia, Pain & Intensive Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2021-12-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anaesthesia, Pain & Intensive Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35975/apic.v25i6.1707\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia, Pain & Intensive Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35975/apic.v25i6.1707","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
大的胸外科手术导致严重的术后疼痛。硬膜外镇痛被认为是胸外科手术后疼痛管理的金标准。然而,硬膜外阻滞在某些临床条件下是禁忌的。此类患者的疼痛管理对麻醉师提出了独特的挑战。直立脊柱平面阻滞(ESPB)是一种创伤小且相对较新的技术,已显示出良好的效果。本病例报告描述了ESPB作为一种替代镇痛技术的使用。一位65岁的男性接受了开胸和左上肺叶切除术。术中和术后疼痛通过竖脊平面导管间歇大剂量布比卡因治疗。术后吗啡用量少,镇痛效果好。虽然中枢神经轴阻滞被认为是大胸外科手术的金标准,但在适用的情况下,可以选择其他方法以获得更好的患者预后。关键词:镇痛;竖脊面块;开胸;疼痛控制;引用本文:Usman A, Khan AW, Ijaz MK.超声引导直立脊柱平面导管用于开胸术1例。Anaesth。疼痛重症监护2021;25(6):812-815;收稿日期:2021年8月16日,审稿日期:2021年10月28日,接收日期:2021年10月31日
Ultrasound guided erector spinae plane catheter for thoracotomy: a case report
Major thoracic surgery results in severe postoperative pain. Epidural analgesia is considered the gold standard for pain management after thoracic surgery. However, epidural blocks are contraindicated in certain clinical conditions. Pain management in such patients poses a unique challenge to the anesthesiologists. Erector spinae plane block (ESPB) is a less invasive and relatively new technique, which has shown promising results. This case report describes the use of ESPB as an alternate analgesic technique. A 65-year-old man underwent thoracotomy and left upper lobe resection. Intraoperative and postoperative pain was managed with intermittent boluses of bupivacaine through the erector spinae plane catheter. Effective analgesia was achieved with minimal morphine consumption in postoperative period. Although central neuraxial blocks are considered to be gold standard for major thoracic surgery but where applicable, alternatives can be opted for better patient outcomes.
Key words: Analgesia; Erector spinae plane block; Thoracotomy; Pain control; Neuraxial analgesia
Citation: Usman A, Khan AW, Ijaz MK. Ultrasound guided erector spinae plane catheter for thoracotomy: a case report. Anaesth. pain intensive care 2021;25(6):812–815;
DOI: 10.35975/apic.v25i6.1707
Received: August 16, 2021, Reviewed: October 28, 2021, Accepted: October 31, 2021