PDF(Pubmed)
Abstract：
Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man diagnosed with small-cell lung carcinoma and bilateral malignant pleural effusion in the lungs and pericardial effusion was scheduled for pericardial-window-opening surgery. The severely compromised lung function of the patient led to an anesthetic plan of ultrasound-guided serratus anterior plane block combined with an intercostal block. Although serratus plane block was initially developed for postoperative analgesia, we have shown here that it can be used under deep sedation in combination with an intercostal block for anesthesia for surgeries involving the hemithorax; the block may be promising in high-risk cases.
摘要：
心包填塞患者的麻醉管理具有挑战性。一名65岁的男子被诊断为小细胞肺癌，肺部双侧恶性胸腔积液和心包积液，计划进行心包窗开放手术。患者的肺功能严重受损导致了超声引导下前锯肌平面阻滞联合肋间阻滞的麻醉计划。尽管锯齿肌平面阻滞最初是用于术后镇痛的，我们在此已经表明,它可以在深度镇静下与肋间阻滞联合使用,用于涉及半胸部的手术的麻醉;这种阻滞在高危病例中可能是有希望的.
