Anatomical basis of fascial plane blocks

筋膜 医学 解剖 背景(考古学) 腹部成形术 深筋膜 外科 地质学 整形外科 古生物学
作者
Ki Jinn Chin,Barbara Versyck,Hesham Elsharkawy,Maria Fernanda Rojas Gomez,Xavier Sala‐Blanch,Miguel Ángel Reina
出处
期刊:Regional Anesthesia and Pain Medicine [BMJ]
卷期号:46 (7): 581-599 被引量:30
标识
DOI:10.1136/rapm-2021-102506
摘要

Fascial plane blocks (FPBs) are regional anesthesia techniques in which the space (“plane”) between two discrete fascial layers is the target of needle insertion and injection. Analgesia is primarily achieved by local anesthetic spread to nerves traveling within this plane and adjacent tissues. This narrative review discusses key fundamental anatomical concepts relevant to FPBs, with a focus on blocks of the torso. Fascia, in this context, refers to any sheet of connective tissue that encloses or separates muscles and internal organs. The basic composition of fascia is a latticework of collagen fibers filled with a hydrated glycosaminoglycan matrix and infiltrated by adipocytes and fibroblasts; fluid can cross this by diffusion but not bulk flow. The plane between fascial layers is filled with a similar fat-glycosaminoglycan matric and provides gliding and cushioning between structures, as well as a pathway for nerves and vessels. The planes between the various muscle layers of the thorax, abdomen, and paraspinal area close to the thoracic paravertebral space and vertebral canal, are popular targets for ultrasound-guided local anesthetic injection. The pertinent musculofascial anatomy of these regions, together with the nerves involved in somatic and visceral innervation, are summarized. This knowledge will aid not only sonographic identification of landmarks and block performance, but also understanding of the potential pathways and barriers for spread of local anesthetic. It is also critical as the basis for further exploration and refinement of FPBs, with an emphasis on improving their clinical utility, efficacy, and safety.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
明钟达完成签到,获得积分10
1秒前
默默发布了新的文献求助30
1秒前
1秒前
晴天霹雳3732完成签到,获得积分10
2秒前
顾闭月完成签到,获得积分10
2秒前
2秒前
ratziel发布了新的文献求助10
3秒前
3秒前
小闪光完成签到 ,获得积分10
3秒前
MZT完成签到,获得积分10
3秒前
wenbin完成签到,获得积分10
3秒前
巧克力张张包完成签到,获得积分10
4秒前
马美丽完成签到 ,获得积分10
4秒前
寒凌完成签到,获得积分10
4秒前
CMUSK完成签到,获得积分10
4秒前
qinkoko完成签到,获得积分10
6秒前
温水完成签到,获得积分10
6秒前
田様应助309175700@qq.com采纳,获得10
6秒前
冰西瓜最棒_完成签到,获得积分10
7秒前
GAO完成签到,获得积分10
7秒前
薯片发布了新的文献求助10
7秒前
zero完成签到,获得积分10
8秒前
lezbj99发布了新的文献求助10
8秒前
我没有名字完成签到,获得积分20
8秒前
欣喜乐天发布了新的文献求助10
9秒前
努恩完成签到,获得积分10
9秒前
TheDing完成签到,获得积分10
9秒前
sudeior完成签到,获得积分10
10秒前
Zz完成签到 ,获得积分0
11秒前
也可以喝茶完成签到,获得积分10
11秒前
36456657应助airui采纳,获得10
11秒前
潇洒馒头完成签到,获得积分10
11秒前
Jj完成签到,获得积分10
12秒前
husgbxud完成签到 ,获得积分10
12秒前
小丫头大傻妞完成签到 ,获得积分10
13秒前
Biao完成签到,获得积分10
13秒前
闪闪青雪完成签到,获得积分10
14秒前
Liar完成签到,获得积分10
14秒前
群阿完成签到,获得积分10
14秒前
双马尾小男生完成签到,获得积分10
15秒前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
叶剑英与华南分局档案史料 500
Foreign Policy of the French Second Empire: A Bibliography 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3147001
求助须知:如何正确求助?哪些是违规求助? 2798279
关于积分的说明 7827502
捐赠科研通 2454919
什么是DOI,文献DOI怎么找? 1306492
科研通“疑难数据库(出版商)”最低求助积分说明 627808
版权声明 601565