竖脊平面导管用于细胞减少手术伴腹腔热化疗的镇痛:一个病例系列。

IF 0.5

A&A Practice Pub Date : 2022-11-01 DOI:10.1213/XAA.0000000000001643

Christina W Fidkowski, Adnan Hussain, Joshua D Younger, Mark A Giska, Cory McCurry, Gary E Loyd

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引用次数: 0

摘要

细胞减少手术与腹腔内高温化疗是一个复杂和痛苦的过程，可引起术后低血压和凝血功能障碍。硬膜外镇痛可能加重低血压，在凝血功能障碍的情况下禁用。虽然正在探索其他区域技术，但尚未报道使用竖脊机脊柱平面块。我们报告了6例使用竖脊平面导管进行细胞减少手术并腹腔内高温化疗的患者。患者术中病情稳定，术后疼痛控制良好。竖脊平面导管可能是这些患者硬膜外镇痛的合适选择。

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Erector Spinae Plane Catheters for Analgesia for Cytoreduction Surgery With Hyperthermic Intraperitoneal Chemotherapy: A Case Series.

Cytoreduction surgery with hyperthermic intraperitoneal chemotherapy is a complex and painful procedure that can cause postoperative hypotension and coagulopathy. Epidural analgesia may worsen hypotension and is contraindicated in the setting of coagulopathy. While alternative regional techniques are being explored, the use of erector spinae plane blocks has not been reported. We present a case series of 6 patients who had erector spinae plane catheters for cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. They remained stable intraoperatively and had adequate pain control postoperatively. Erector spinae plane catheters may be a suitable alternative for epidural analgesia for these patients.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.