超声引导腰椎竖立者脊柱平面阻滞后意外运动阻滞。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Ömer Karaca
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引用次数: 1

摘要

在许多手术中,由于广泛使用局麻(LA)和阻滞背支和腹支,成功地使用竖脊平面阻滞(ESPB)用于术后镇痛。ESPB也有效缓解腰椎间盘突出症引起的腰背部疼痛,通过大容量LA应用于腰椎区域。虽然大剂量给药增加了阻断的有效性,但由于其覆盖范围,它也可能导致意想不到的副作用。在文献中,只有一项研究报道了ESPB应用后运动无力的发展,该病例在胸部水平进行了阻滞。在本研究中,一名67岁女性患者因腰椎间盘突出导致腰背部和腿部疼痛,在腰椎ESPB后出现双侧运动阻滞。这是文献中关于这类病例的第二份报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unexpected motor block after ultrasound-guided lumbar erector Spinae plane block.

The successful use of the erector spinae plane block (ESPB) has been reported for post-operative analgesia in numerous operations due to the widespread use of local anesthetic (LA) and the blocking of the dorsal and ventral rami. ESPB has also been effective for easing lumbar back pain caused by lumbar disc herniation through a high-volume LA application to the lumbar area. While high-volume LA administration increases the effectiveness of the block, it can also cause unexpected side effects due to its coverage area. In the literature, only one study has reported on the development of motor weakness following ESPB application, in a case in which the block was performed at the thoracic level. In the present study, a 67-year-old female patient with lower back and leg pain resulting from lumbar disc herniation developed a bilateral motor block following lumbar ESPB. This is the second report of this type of case in the literature.

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CiteScore
1.00
自引率
16.70%
发文量
22
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