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Continuous peripheral nerve blockade for postoperative analgesia.

机译:持续的周围神经阻滞用于术后镇痛。

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摘要

PURPOSE OF REVIEW: To review the recent literature involving the use of continuous peripheral nerve sheath catheters in the management of postoperative pain. RECENT FINDINGS: Continuous peripheral nerve blocks provide superior analgesia and are associated with fewer opioid-induced side effects for patients undergoing extremity surgery. Ultrasound technology is being used with increasing frequency to guide the placements of continuous peripheral nerve blocks. The evidence is still equivocal regarding the superiority of stimulating versus nonstimulating catheters for the delivery of continuous peripheral nerve blockade. The incidence of major complications associated with continuous peripheral nerve blocks is very low and probably no different from single injection peripheral nerve blocks. SUMMARY: Continuous peripheral nerve blocks are an excellent additional modality to compliment other multimodal analgesics to control moderate to severe postoperative pain.
机译:审查的目的:审查有关使用连续性周围神经鞘导管治疗术后疼痛的最新文献。最近的发现:连续的周围神经阻滞为上肢手术患者提供了出色的镇痛作用,并减少了阿片类药物引起的副作用。越来越多地使用超声波技术来引导连续的周围神经阻滞的放置。关于刺激性导管与非刺激性导管对持续性周围神经阻滞的递送的优越性,仍然是模棱两可的。与连续性周围神经阻滞相关的主要并发症的发生率非常低,可能与单次注射的周围神经阻滞没有区别。摘要:连续性周围神经阻滞是补充其他多模态镇痛药以控制中度至重度术后疼痛的绝佳附加方式。

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