Konjenital özofageal atresili, trakeo-özofajal fistül olan prematür yenidoğanda ultrason-eşliğinde torasik paravertebral blok: bir olgu sunumu
Ultrason eşliğinde torasik paravertebral blok (TPVB), çeşitli yaşlardaki çocuklarda kullanım için umut verici yeni bir tekniktir. Bu vaka raporunda prematüre yenidoğanda başarılı bir ultrason (USG) eşliğinde TPVB prosedürü anlatılmaktadır. 32. gebelik haftasında doğan 3 günlük 1600 gr bebeğe özofagus fistül onarımı ve özofagus atrezisi nedeniyle torakostomi uygulandı. Ameliyatın sonunda, USG eşliğinde TPVB, paramedian pozisyonda lineer prob kullanılarak paravertebral erişim başarılı bir şekilde gerçekleştirildi. USG eşliğinde TPVB, gelecekte prematüre yenidoğanda etkili analjezi sağlamak için alternatif bir yöntem olabilir.
Ultrasound-guided thoracic paravertebral block in a premature neonate with congenital oesophageal atresia with a tracheo-oesophageal fistula: a case report
Ultrasound-guided thoracic paravertebral block (TPVB) is a promising new technique for use in children of various ages. In this case report, a successful ultrasound (USG) guided TPVB procedure in premature neonate is described. A 3-day-old 1600-g neonate, born at 32 weeks of gestation, was underwent thoracostomy for esophageal atresia with esophageal fistula repair. At the end of the surgery, USG-guided TPVB were successfully performed using a linear probe in the paramedian position. USG-guided TPVB could be an alternative method for providing effective analgesia in a premature neonates in the future.
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