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首页> 外文期刊>Saudi Journal of Anaesthesia >Low-dose ropivacaine for supraclavicular brachial plexus block combined with general anesthesia for successful postoperative analgesia: A case series
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Low-dose ropivacaine for supraclavicular brachial plexus block combined with general anesthesia for successful postoperative analgesia: A case series

机译：小剂量罗哌卡因用于锁骨上臂丛神经阻滞联合全身麻醉成功术后镇痛：一个病例系列

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摘要

Background: Ropivacaine, a long-acting local anesthetic agent, has been used for postoperative analgesia in brachial plexus block (BPB) at high doses. However, use of lower doses would reduce the occurrence of adverse effects. Methods: We applied BPB with low-dose ropivacaine (10 mL of 0.375% ropivacaine) after induction of general anesthesia for surgery of the upper extremities in 62 patients at our hospital. Ropivacaine was administered via a fluoroscopy-guided supraclavicular method. Analgesic effects during surgery, visual analog scale pain scores, skin sensation, muscle strength, and postoperative patient satisfaction indices were evaluated. Results: Fifty-six patients (90.3%) did not require supplemental analgesics during surgery. The remaining six patients were administered fentanyl due to the insufficient analgesic effects of the nerve block. Some adverse effects, including numbness and delayed motor and sensory recovery of the upper extremities, were observed. The mean postoperative patient-evaluated visual satisfaction scale was 94.1. Conclusions: Our results suggest that low-dose ropivacaine is clinically acceptable for BPB under general anesthesia.
机译：背景：罗哌卡因是一种长效局部麻醉剂，已被用于大剂量臂丛神经阻滞（BPB）的术后镇痛。但是，使用较低剂量可以减少不良反应的发生。方法：对62例患者行全麻全身麻醉后，应用小剂量罗哌卡因（10mL，0.375％罗哌卡因）联合PBB进行上肢手术。罗哌卡因通过透视引导下的锁骨上方法给药。评估手术过程中的镇痛效果，视觉模拟疼痛评分，皮肤感觉，肌肉力量和术后患者满意度指数。结果：56例患者（90.3％）在手术期间不需要补充镇痛药。其余六名患者由于神经阻滞的镇痛作用不足而接受了芬太尼治疗。观察到一些不良反应，包括麻木和上肢运动和感觉恢复延迟。术后患者评估的平均视觉满意度量表为94.1。结论：我们的结果表明，小剂量罗哌卡因在全身麻醉下可用于BPB临床上。

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