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Midpoint transverse process to pleura block for postoperative analgesia following laparoscopic renal cyst decortication:Two case reports
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作者 Wei-Jie He Wen-Xing Xu +4 位作者 Xu-Dong Zhang Yue Chen Shu-Ying He Xian-Qin Wei Xiao-Lan Huang 《World Journal of Clinical Cases》 SCIE 2024年第18期3629-3635,共7页
BACKGROUND The midpoint transverse process to pleura(MTP)block,a novel technique for thoracic paravertebral block(TPVB),was first employed in laparoscopic renal cyst decortication.CASE SUMMARY Thoracic paravertebral n... BACKGROUND The midpoint transverse process to pleura(MTP)block,a novel technique for thoracic paravertebral block(TPVB),was first employed in laparoscopic renal cyst decortication.CASE SUMMARY Thoracic paravertebral nerve block is frequently employed for perioperative analgesia during laparoscopic cyst decortication.To address safety concerns associated with TPVBs,we administered MTP blocks in two patients prior to administering general anesthesia for laparoscopic cyst decortication.The MTP block was performed at the T9 level under ultrasound guidance,with 20 mL of 0.5%ropivacaine injected.Reduced sensation to cold and pinprick was observed from the T8 to T11 dermatome levels.Immediately postoperative Numeric Pain Rating Scale scores were 0/10 at rest and on movement,with none exceeding a mean 24 h numeric rating scale>3.CONCLUSION MTP block was effective technique for providing postoperative analgesia for patients undergoing laparoscopic renal cyst decortication. 展开更多
关键词 Midpoint transverse process to pleura block Laparoscopic renal cyst decortication PAIN ANALGESIA Case report
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超声引导下横突-胸膜中点阻滞与胸椎旁神经阻滞用于单孔胸腔镜手术后镇痛效果的比较 被引量:11
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作者 陈旭 章蔚 +2 位作者 王迪 谢言虎 王胜 《临床麻醉学杂志》 CAS CSCD 北大核心 2020年第12期1173-1176,共4页
目的比较超声引导下横突-胸膜中点阻滞(MTPB)与胸椎旁神经阻滞(TPVB)用于单孔胸腔镜手术术后镇痛的效果。方法选择择期行单孔胸腔镜手术患者80例,男36例,女44例,年龄18~65岁,BMI 19~28 kg/m^2,ASAⅠ―Ⅲ级。采用随机数字表法分为MTPB组(... 目的比较超声引导下横突-胸膜中点阻滞(MTPB)与胸椎旁神经阻滞(TPVB)用于单孔胸腔镜手术术后镇痛的效果。方法选择择期行单孔胸腔镜手术患者80例,男36例,女44例,年龄18~65岁,BMI 19~28 kg/m^2,ASAⅠ―Ⅲ级。采用随机数字表法分为MTPB组(M组)和TPVB组(P组),每组40例。手术结束后M组行超声引导下MTPB,P组行TPVB,两组均注射0.5%罗哌卡因15 ml。两组患者术后均采用PCIA。记录神经阻滞操作时间、穿刺深度,记录术后2、6、12、24、48 h安静和咳嗽时VAS疼痛评分,记录镇痛泵首次按压时间、总按压次数、舒芬太尼使用量和补救镇痛例数,记录穿刺相关并发症、镇痛不良反应发生情况。结果与P组比较,M组神经阻滞操作时间明显缩短(P<0.05),进针深度明显变浅(P<0.05)。术后2、6、12、24、48 h两组安静和咳嗽时VAS疼痛评分差异无统计学意义。两组患者术后镇痛泵首次按压时间、总按压次数、舒芬太尼用量和补救镇痛率差异无统计学意义。两组患者术后恶心、呕吐等不良反应差异无统计学意义。结论MTPB或TPVB联合术后PCIA应用于单孔胸腔镜手术患者,术后均可取得良好的镇痛效果,但MTPB操作简单、安全,可作为单孔胸腔镜手术患者术后镇痛方案的选择。 展开更多
关键词 横突-胸膜中点阻滞 椎旁神经阻滞 单孔胸腔镜 术后镇痛
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