直立棘平面阻滞治疗胰腺肿瘤顽固性疼痛1例

Q2 Medicine

Anesthesiology and Pain Medicine Pub Date : 2023-06-24 eCollection Date: 2023-06-01 DOI:10.5812/aapm-135829

Poupak Rahimzadeh, Ali Ahani, Ali Antar, Seyedeh Fatemeh Morsali, Faegheh Zojaji, Gholamali Dikafraz Shokooh

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引用次数: 0

摘要

简介:竖脊肌平面阻滞术是一种区域麻醉技术，通过筋膜间平面在竖脊肌下方注射局部麻醉剂。病例介绍:我们报告一例66岁男性颈胸交界处疼痛引起的晚期Pancoast肿瘤。在2个疗程后，在T2-T3水平施加ESP阻滞导致该患者疼痛减轻50%以上。结论:应用该方法进行局部镇痛既方便又安全，可减少阿片类药物的消耗。需要进一步的研究来评估门诊连续阻滞的安全性和有效性。

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Erector Spinae Plane Block for the Treatment of Intractable Pain in a Patient with Pancoast Tumor: A Case Report.

Introduction: The erector spinae plane (ESP) block is a regional anesthetic technique that involves injecting a local anesthetic below the erector spinae muscle in an interfascial plane.

Case presentation: We report a case of a 66-year-old man with cervicothoracic junction pain caused by an advanced Pancoast tumor. The administration of ESP block at the T2-T3 level led to pain relief of more than 50% in this patient after two sessions.

Conclusions: Therefore, the application of this method of regional analgesia is both convenient and safe and reduces opioid consumption. Further studies are needed to evaluate the safety and effectiveness of continuous blocks in outpatient settings.

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来源期刊

Anesthesiology and Pain Medicine Medicine-Anesthesiology and Pain Medicine

CiteScore

4.60

自引率

0.00%

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