Midpoint transverse process to pleura block for postoperative analgesia following laparoscopic renal cyst decortication:Two case reports  

作　　者：Wei-Jie He Wen-Xing Xu Xu-Dong Zhang Yue Chen Shu-Ying He Xian-Qin Wei Xiao-Lan Huang 

机构地区：[1]Department of Anesthesiology,Liuzhou People's Hospital affiliated to Guangxi Medical University,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China [2]Department of Ultrasound Medicine,Liuzhou People's Hospital affiliated to Guangxi Medical University,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2024年第18期3629-3635,共7页世界临床病例杂志

基　　金：Supported by Self-funded Research Projects of Guangxi Zhuang Autonomous Region Health Commission of China,No.Z20210063。

摘　　要：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.

关 键 词：Midpoint transverse process to pleura block Laparoscopic renal cyst decortication PAIN ANALGESIA Case report 

分 类 号：R687.3[医药卫生—骨科学]