PPT醫(yī)學課件超聲引導下豎脊肌阻滯在臨床應用講義

內(nèi)容一、筋膜和筋膜平面阻滯概況二、豎脊肌平面阻滯在胸科手術的應用三、豎脊肌平面阻滯在腹部手術的應用四、豎脊肌平面阻滯在脊柱手術的應用筋膜平面阻滯FascialplaneblocksPECSblockQuadratuslumborumblockSerratusplaneblockTransversusabdominisplaneblockTheerectorspinaeplaneblock:planeandsimple.El-BoghdadlyK,PawaA.Anaesthesia.2017Apr;72(4):434-438.“詭異的筋膜”麻醉為筋膜平面阻滯提供空間疼痛人體生物力學調(diào)控胸腰筋膜麻醉腰方肌阻滯豎脊肌平面阻滯胸腰筋膜平面阻滯疼痛調(diào)節(jié)腰臀部和脊柱相關軟組織張力肌筋膜炎（急性腰肌扭傷）神經(jīng)病理性疼痛超聲引導下豎脊肌平面阻滯在胸科手術的臨床應用超聲引導下豎脊肌平面阻滯ForeroM,AdhikarySD,LopezH,etal.TheErectorSpinaePlaneBlock:ANovelAnalgesicTechniqueinThoracicNeuropathicPain.RegAnesthPainMed.2016,41(5):621-627.T5橫突豎脊肌平面阻滯范圍T5橫突豎脊肌平面阻滯范圍驗證豎脊肌平面阻滯的有效性和安全性——隨機對照研究持續(xù)豎脊肌平面阻滯首次劑量25ml0.5%羅哌卡因；鎮(zhèn)痛泵8ml/h0.2%羅哌卡因，bolus5ml，鎖定60min超聲引導下豎脊肌平面阻滯在腹部手術的臨床應用雙側T7豎脊肌平面阻滯用于腹壁疝手術鎮(zhèn)痛雙側T7豎脊肌平面阻滯用于減肥手術鎮(zhèn)痛雙側T8持續(xù)豎脊肌平面阻滯用于膀胱前列腺切除術術后第1天 術后第2天 術后第4天每側首次劑量：3ml2%利多卡因，10ml0.25%布比卡因；置管，鎮(zhèn)痛泵6ml/h0.1%布比卡因；手術結束前10ml0.25%布比卡因豎脊肌平面阻滯原理Boezaart,A.P.AtlasofPeripheralNerveblocksandAnatomyforOrthopaedicAnesthesia.2008ForeroM,AdhikarySD,LopezH,etal.TheErectorSpinaePlaneBlock:ANovelAnalgesicTechniqueinThoracicNeuropathicPain.RegAnesthPainMed.2016,41(5):621-627.豎脊肌平面阻滯解剖示意圖ChinKJ,MalhasL,PerlasA.TheErectorSpinaePlaneBlockProvidesVisceralAbdominalAnalgesiainBariatricSurgery:AReportof3Cases.RegAnesthPainMed.2017豎脊肌平面阻滯與后椎板阻滯Pfeiffer

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2011Sep;23(6):443-50.超聲引導下豎脊肌平面阻滯在脊柱手術的臨床應用CorrespondenceClinicalexperiencesofultrasound-guidederectorspinaeplaneblockforthoracicvertebrasurgeryContentslistsavailableatScienceDirect)ournalofClinicalAnesthesiab?anzhtnt?rnaRhomBoidUI|QFFfHJSEl9總結?胸腰筋膜在麻醉/疼痛領域有廣闊的研究空間?