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首页> 外文期刊>Acute pain: international journal of acute pain management >Continuous thoracic paravertebral blockade: A case report and review of technique
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Continuous thoracic paravertebral blockade: A case report and review of technique

机译：连续胸椎旁阻滞：一例病例报告及技术回顾

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摘要

Multiple rib fractures cause severe pain. When this pain is combined with suboptimal analgesia it can impact significantly on respiratory function and lead to respiratory compromise and complications. Effective analgesia is required to allow a patient to cough, take deep breaths and participate in physiotherapy. Systemic opioids are commonly used but can result in inadequate pain control and respiratory depression. Epidural analgesia is often preferred over systemic opioids, but is contraindicated in a number of patients. This paper describes the case of an opioid dependent patient suffering from multiple rib fractures complicated by coag-ulopathy, hypovolaemia and acute on chronic hepatic and renal failure. Analgesia was provided with a continuous thoracic paravertebral block (c-TPVB).
机译：多发性肋骨骨折会引起严重的疼痛。当这种疼痛与不理想的镇痛相结合时，会严重影响呼吸功能，并导致呼吸系统损害和并发症。需要有效的镇痛作用，以使患者咳嗽，深呼吸和参与物理治疗。全身使用阿片类药物，但可能导致疼痛控制不足和呼吸抑制。硬膜外镇痛通常优于全身性阿片类药物，但在许多患者中禁用。本文描述了一例阿片类药物依赖患者，患有多发性肋骨骨折，并伴有凝结性病变，低血容量和慢性肝，肾衰竭急性发作。为镇痛提供了连续的胸椎旁阻滞（c-TPVB）。

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