胸腔镜手术后不同阻滞镇痛的利弊。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

Current Opinion in Anesthesiology Pub Date : 2025-02-01 Epub Date: 2024-12-06 DOI:10.1097/ACO.0000000000001451

M Ahmet Karakaya, Davud Yapici, Emre Sertac Bingül, Özlem Turhan, Mert Şentürk

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引用次数: 0

摘要

综述目的：虽然有很多研究探讨了不同阻滞对胸外科手术（VATS）术后镇痛的影响，但结果存在争议。最近的研究发现：椎旁阻滞、前锯肌阻滞和竖脊肌阻滞似乎对vats后镇痛是有效和有益的，但可能方式不同。总结：在日常练习中，这三个块都可以推荐使用，选择应根据麻醉医师的个人经验和喜好。客观决策需要更好的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pro's and con's of different blocks for postoperative analgesia after video-assisted thoracic surgery.

Purpose of review: Although there are a lot of studies examining the effects of different blocks for postoperative analgesia after video-assisted thoracic surgery (VATS), the results are controversial.

Recent findings: Paravertebral block, serratus anterior plane block and erector spinae plane block appear to be effective and beneficial for post-VATS analgesia, but probably in different manners.

Summary: All three blocks can be suggested for daily practice, the choice should be based on personal experience and preference of the anesthetist. Better studies are required for objective decision.

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.