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Brachial plexus block

机译:臂丛神经阻滞

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摘要

Purpose of review: In recent years there has been a renewed interest in regional anesthesia, particularly peripheral nerve blockade, in order not only to improve the patient's well being, but also to meet the requirements of modern orthopedic surgery. These requirements include appropriate conditions to perform early and efficient rehabilitation. Recent findings: The upper extremity is well designed for the practice of the perineural catheter technique, since we have three main approaches, interscalene, infraclavicular and axillary, which allow all territories involved in specific surgical procedures to be blocked with only one shot or catheter. Recent developments have focused on modification of traditional technical approaches, improving the safety of the procedure, finding a more efficient way to administer the local anesthetic through the perineural catheter, and examining new indications and modes of performing regional anesthesia. Summary: Early rehabilitation is currently a key point for the success of orthopedic surgery. The rapid development of peripheral nerve blockade gives the anesthesiologist the means to face this new challenge.
机译:复习目的:近年来,人们对区域麻醉特别是周围神经阻滞有了新的兴趣,不仅可以改善患者的健康状况,还可以满足现代骨科手术的要求。这些要求包括进行早期和有效康复的适当条件。最近的发现:由于我们采用了三种主要方法,即斜肌间,锁骨下和腋下,因此上肢经精心设计,可用于神经周导管技术,这使得仅需一枪或一根导管就能阻塞涉及特定外科手术的所有区域。最近的发展集中在对传统技术方法的修改,提高手术的安全性,找到通过神经导管插入局麻药的更有效方法以及研究进行区域麻醉的新适应症和新模式。简介:早期康复目前是骨科手术成功的关键。周围神经阻滞的迅速发展为麻醉师提供了应对这一新挑战的手段。

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