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Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks

机译:超声引导的胸腹壁周围神经阻滞的镇痛作用

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Background and Objectives:Peripheral nerve blocks have been associated with decreased opiate consumption along with decreased associated side effects, improved pain scores, improved patient satisfaction scores, and decreased hospital length of stay. The aim of this review is to describe the use of ultrasound-guided thoraco-abdominal wall peripheral nerve blocks for perioperative analgesia.Content:This review article discusses the indications, anatomy, techniques, risks, and available clinical evidence of ultrasound-guided transversus abdominis plane (TAP), paravertebral, PECS, rectus sheath, and ilioinguinal/ iliohypogastric truncal blocks to update practitioners on the utility of these interventions in perioperative pain management.Conclusion:The increased use of ultrasound guidance in the performance of regional anesthesia has increased the tools available to physicians to provide analgesia in patients with thoraco-abdominal pain after surgery and trauma.
机译:背景与目的:周围神经阻滞与鸦片消费减少,相关副作用减少,疼痛评分改善,患者满意度评分改善以及住院时间缩短有关。这篇综述的目的是描述超声引导的胸腹壁周围神经阻滞在围手术期镇痛中的应用。内容:这篇综述文章讨论了超声引导的横贯腹膜的适应症,解剖学,技术,风险和可用的临床证据平面(TAP),椎旁,PECS,直肌鞘和i舌/ hy腹下截肌块,以向从业者介绍这些干预措施在围手术期疼痛管理中的实用性。可供医师在手术和创伤后为胸腹痛患者提供镇痛作用。

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