超聲引導(dǎo)下豎脊肌阻滯在臨床應(yīng)用-馬丹旭-圖文

超聲引導(dǎo)下豎脊肌阻滯在臨床應(yīng)用-馬丹旭_圖文.pptx內(nèi)容一、筋膜和筋膜平面阻滯概況二、豎脊肌平面阻滯在胸科手術(shù)的應(yīng)用

三、豎脊肌平面阻滯在腹部手術(shù)的應(yīng)用

四、豎脊肌平面阻滯在脊柱手術(shù)的應(yīng)用筋膜平面阻滯

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Anaesthesia.2017Apr;72(4):434-438.“詭異的筋膜”麻醉為筋膜平面阻滯提供空間疼痛人體生物力學(xué)調(diào)控胸腰筋膜麻醉腰方肌阻滯豎脊肌平面阻滯胸腰筋膜平面阻滯疼痛調(diào)節(jié)腰臀部和脊柱相關(guān)軟組織張力肌筋膜炎（急性腰肌扭傷）神經(jīng)病理性疼痛超聲引導(dǎo)下豎脊肌平面阻滯在胸科手術(shù)的臨床應(yīng)用超聲引導(dǎo)下豎脊肌平面阻滯Forero

M,

AdhikarySD,

Lopez

H,

etal.

The

Erector

SpinaePlaneBlock:

A

Novel

AnalgesicTechnique

inThoracicNeuropathic

Pain.Reg

Anesth

PainMed.

2016,41(5):621-627.T5橫突豎脊肌平面阻滯范圍T5橫突豎脊肌平面

阻滯范圍驗(yàn)證豎脊肌平面阻滯的有效性和安全性——隨機(jī)對(duì)照研究持續(xù)豎脊肌平面阻滯首次劑量

25ml

0.5%羅哌卡因；鎮(zhèn)痛泵

8ml/h0.2%羅哌卡因，bolus

5ml

，鎖定60min超聲引導(dǎo)下豎脊肌平面阻滯在腹部手術(shù)的臨床應(yīng)用雙側(cè)T7豎脊肌平面阻滯用于腹壁疝手術(shù)鎮(zhèn)痛雙側(cè)T7豎脊肌平面阻滯用于減肥手術(shù)鎮(zhèn)痛雙側(cè)T8持續(xù)豎脊肌平面阻滯用于膀胱前列腺切除術(shù)術(shù)后第1天 術(shù)后第2天 術(shù)后第4天每側(cè)首次劑量：3ml2%利多卡因，10ml

0.25%布比卡因；置管，鎮(zhèn)痛泵6ml/h

0.1%布比卡因；手術(shù)結(jié)束前10ml

0.25%布比卡因豎脊肌平面阻滯原理Boezaart,

A.P.

Atlas

of

PeripheralNerve

blocksandAnatomyfor

Orthopaedic

Anesthesia.

2008Forero

M,

AdhikarySD,

Lopez

H,

etal.

The

Erector

SpinaePlaneBlock:

ANovel

AnalgesicTechnique

in

ThoracicNeuropathic

Pain.Reg

Anesth

PainMed.

2016,41(5):621-627.豎脊肌平面阻滯解剖示意圖Chin

KJ,

Malhas

L,

Perlas

A.

TheErector

SpinaePlane

Block

ProvidesVisceral

Abdominal

AnalgesiainBariatric

Surgery:

AReport

of

3Cases.

Reg

Anesth

PainMed.

2017豎脊肌平面阻滯與后椎板阻滯Pfeiffer

G1,

Oppitz

N,

Sch?ne

S,

et

al.Analgesia

ofthe

axilla

using

a

paravertebralcatheter

inthelamina

technique.

Anaesthesist.

2006Apr;55(4):423-7.Jüttner

T1,Werdehausen

R,

Hermanns

H,

etal.

The

paravertebral

lamina

technique:a

new

regional

anesthesia

app