Ultrasound-Guided Paravertebral Block Using an Intercostal Approach
Ultrasound-Guided Paravertebral Block Using an Intercostal Approach
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DOI：
10.1213/ane.0b013e3181b72d50
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发表时间：
2009-11-01
影响因子：
5.7
通讯作者：
Bigeleisen, Paul E.
中科院分区：
文献类型：
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作者：
Ben-Ari, Alon;Moreno, Milena;Bigeleisen, Paul E.
我们描述了一种超声引导下的技术，连续双侧椎旁阻滞使用肋间的方法在12例择期腹部手术。术后，患者的每根椎旁导管均注入10 mL利多卡因（15 mg/mL），患者的每根导管均以10 mL/h输注0.2%罗哌卡因。使用针刺试验，初始推注后被阻滞皮节的中位数为5（四分位数范围，4-6），24根导管中有23根产生了局部麻醉阻滞。术后第1天言语疼痛评分的中位数为5.5（四分位数范围，3.5-6），术后前24小时内静脉注射氢吗啡酮的中位剂量为1.9 mg（四分位数范围，0.7-5.05）。所有导管均在术后72 h内取出。（Anesth Analg 2009;109：1691-4）
We describe an ultrasound-guided technique of continuous bilateral paravertebral block using an intercostal approach in 12 patients undergoing elective abdominal surgery. Postoperatively, each of the patient's paravertebral catheters was bolused with 10 mL lidocaine (15 mg/mL), and each of the patient's catheters was infused with 0.2% ropivacaine at 10 mL/h. Using a pinprick test, the median number of dermatomes blocked after the initial bolus was 5 (interquartile range, 4-6), and 23 of 24 catheters produced a local anesthetic block. The median verbal pain score on postoperative day 1 was 5.5 (interquartile range, 3.5-6), and median dose of IV hydromorphone consumed during the first 24 h after surgery was 1.9 mg (interquartile range, 0.7-5.05). All catheters were removed within 72 h after surgery. (Anesth Analg 2009;109:1691-4)