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首页> 外文期刊>Current opinion in anaesthesiology >Recovery after orthopedic surgery: Techniques to increase duration of pain control
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Recovery after orthopedic surgery: Techniques to increase duration of pain control

机译：骨科手术后的恢复：增加疼痛控制时间的技术

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Purpose of review: Ambulatory surgery continues to expand in scope and volume. Part of this development is supported by improvements in anesthesia care, especially in the realm of postoperative analgesia, which is often outlasted by the pain. The purpose of this review is to outline methods of increasing the duration of postoperative pain control. Recent findings: There have been recent advances in the use of perineural catheters for the performance of continuous nerve blocks, the use of adjuvants to extend the duration of single dose blocks, methods to improve the technical performance of blocks, systemic multimodal analgesia, and novel or experimental agents. Summary: The ideas and findings described in this review are taken from the most recent literature and show promise of aiding in the continued improvement of patient care through their dissemination and refinement by further research. Of the modalities reviewed in current use, the continuous perineural catheter combined with systemic multimodal analgesics represents the best combination of safety and efficacy to provide prolonged postoperative analgesia.
机译：审查目的：非卧床手术的范围和数量继续扩大。麻醉护理的改善，尤其是术后镇痛领域的改善，在一定程度上支持了这种发展，而后者通常因疼痛而无法忍受。这篇综述的目的是概述增加术后疼痛控制持续时间的方法。最新发现：在使用神经导管进行连续神经阻滞的研究，使用佐剂延长单剂量阻滞的持续时间，改善阻滞技术性能的方法，全身性多模态镇痛以及新型方面取得了最新进展。或实验剂。摘要：本次综述中描述的想法和发现取材于最新文献，并显示出通过进一步的研究来传播和完善患者护理服务，从而有助于持续改善患者护理的希望。在当前使用的方法中，连续的经神经导管结合全身多模态镇痛药代表了安全性和有效性的最佳组合，以提供延长的术后镇痛效果。

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