PDF(Pubmed)
Abstract：
BACKGROUND: The retro superior costotransverse ligament space (RSS) block, reported as a novel target in paraspinal block, involves the spreading of local anesthetics into the thoracic paravertebral space through slits around the superior costotransverse ligament . This blocks not only the dorsal rami but also the ventral rami, achieving a reliable complete sensory blockade.
METHODS: We performed an RSS block at the T5, T7, and T9 levels on both sides for postoperative analgesia in two patients who underwent laparoscopic gastrectomy. Both patients showed complete sensory blockade from T4 to L1 on the anterior, lateral, and posterior chest walls in the recovery room. The resting and dynamic pain scores were 0 at 30 min and 6 h postoperatively. The pain score consistently remained below 3 throughout postoperative period.
CONCLUSIONS: The RSS block provided effective postoperative analgesia in laparoscopic gastrectomy through definitive complete sensory blockade.
METHODS: We performed an RSS block at the T5, T7, and T9 levels on both sides for postoperative analgesia in two patients who underwent laparoscopic gastrectomy. Both patients showed complete sensory blockade from T4 to L1 on the anterior, lateral, and posterior chest walls in the recovery room. The resting and dynamic pain scores were 0 at 30 min and 6 h postoperatively. The pain score consistently remained below 3 throughout postoperative period.
CONCLUSIONS: The RSS block provided effective postoperative analgesia in laparoscopic gastrectomy through definitive complete sensory blockade.
摘要：
背景：逆行上肋跨韧带间隙（RSS）阻滞，据报道是椎旁阻滞的新目标，涉及局部麻醉药通过上肋横韧带周围的缝隙扩散到胸椎旁间隙。这不仅阻挡了背rami，也阻挡了腹侧rami，实现一个可靠的完整的感觉封锁。
方法：我们对2例腹腔镜胃切除术患者在T5、T7和T9水平两侧进行RSS阻滞，用于术后镇痛。两名患者均表现出从T4到L1的前部完全感觉阻滞，横向,和恢复室的后胸壁。术后30min和6h静息和动态疼痛评分分别为0。在整个术后期间，疼痛评分始终保持在3以下。
结论：RSS阻滞通过明确的完全感觉阻滞在腹腔镜胃切除术中提供了有效的术后镇痛。
方法：我们对2例腹腔镜胃切除术患者在T5、T7和T9水平两侧进行RSS阻滞，用于术后镇痛。两名患者均表现出从T4到L1的前部完全感觉阻滞，横向,和恢复室的后胸壁。术后30min和6h静息和动态疼痛评分分别为0。在整个术后期间，疼痛评分始终保持在3以下。
结论：RSS阻滞通过明确的完全感觉阻滞在腹腔镜胃切除术中提供了有效的术后镇痛。
