Interfascial Plane Blocks: Back to Basics

被引:178
|
作者
Elsharkawy, Hesham [1 ]
Pawa, Amit [2 ,3 ]
Mariano, Edward R. [4 ,5 ]
机构
[1] Case Western Reserve Univ, Cleveland Clin, Dept Gen Anesthesia & Pain Management, Outcomes Res,Lerner Coll Med, Cleveland, OH 44106 USA
[2] St Thomas Hosp, Guys & St Thomas NHS Fdn Trust, London, England
[3] St Thomas Hosp, Dept Anaesthesia, London, England
[4] Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Palo Alto, CA 94304 USA
[5] VA Palo Alto Hlth Care Syst, Palo Alto, CA USA
关键词
THORACOLUMBAR FASCIA; PAIN; INJECTATE; ANATOMY; QUALITY; SPREAD;
D O I
10.1097/AAP.0000000000000750
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Ultrasound-guided interfascial plane blocks are a recent development in modern regional anesthesia research and practice and represent a new route of transmission for local anesthetic to various anatomic locations, but much more research is warranted. Before becoming overtaken with enthusiasm for these new techniques, a deeper understanding of fascial tissue anatomy and structure, as well as precise targets for needle placement, is required. Many factors may influence the ultimate spread and quality of resulting interfascial plane blocks, and these must be understood in order to best integrate these techniques into contemporary perioperative pain management protocols.
引用
收藏
页码:341 / 346
页数:6
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