改良入路治疗胸骨旁阻滞1例报告。

IF 0.5

A&A Practice Pub Date : 2023-01-01 DOI:10.1213/XAA.0000000000001644

Paolo Scimia, Luca Gentili, Mario Tedesco, Pierfrancesco Fusco, Giuseppe Sepolvere

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引用次数: 1

摘要

胸骨旁阻滞是一种超声引导的筋膜间平面阻滞，提供乳房内侧象限的麻醉。最初的入路在胸大肌和外肋间肌之间的筋膜平面进行注射。我们观察到，由于肋骨的解剖凸性，这种技术可能会限制注射剂的充分扩散，这可能会阻碍筋膜水剥离。我们建议采用一种改进的方法，将针尖放置在肋穹窿上，以减少局麻药量，并在靶筋膜间室中获得更均匀和纵向的扩散。

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A Modified Approach to a Parasternal Block: A Case Report.

The parasternal block is an ultrasound-guided interfascial plane block that provides anesthesia of the medial quadrants of the breast. The original approach provided injections in the fascial plane between the pectoral major and external intercostal muscles. We observed that this technique might limit an adequate diffusion of the injectate due to the anatomical convexity of the ribs, which might hinder fascial hydrodissection. We suggest a modified approach by positioning the tip of the needle on the rib dome to reduce the local anesthetic volume and obtain a more homogeneous and longitudinal spread into the target fascial compartment.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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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.