超声引导下腰方肌和肋下腹横平面阻滞

Priya Agrawal DO, Ehab Farag MD, FRCA
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引用次数: 0

摘要

腹野阻滞是腹部大手术中常用的术后镇痛方法。原始的腹横平面(TAP)阻滞在T10-L1的皮肤覆盖范围有限。然而,对经典的TAP阻滞技术进行修改可以增强局部麻醉的扩散,并提供更有效的镇痛。在本文中,我们描述了经典TAP阻滞的两种修改,即腰方肌和肋下TAP阻滞。
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Ultrasound-guided quadratus lumborum and subcostal transversus abdominis plane blocks

Abdominal field blocks are commonly used for postoperative analgesia in major abdominal surgeries. The original transversus abdominis plane (TAP) block is limited in its dermatomal coverage to T10-L1. However, modifications made to the classic TAP block technique can enhance the spread of local anesthetic and provide more effective analgesia. In this article, we describe 2 of such modifications of the classic TAP block, namely quadratus lumborum and subcostal TAP blocks.

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