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首页> 外文期刊>Current opinion in anaesthesiology >Peripheral nerve blocks for outpatient surgery: Evidence-based indications
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Peripheral nerve blocks for outpatient surgery: Evidence-based indications

机译：门诊手术的周围神经阻滞：循证适应证

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PURPOSE OF REVIEW: There has been an increasing use of peripheral nerve blocks (PNBs) in ambulatory surgery. Several recent reports have contributed to our understanding of the optimal PNB technique for specific surgical procedures in this setting. In this review, we have summarized the available literature on indications of PNBs for outpatient surgery of the upper extremity. RECENT FINDINGS: Although many of the recent studies focus on technical aspects of PNBs, few center on evidence-based indications or their utility in the ambulatory setting. The available literature suggests that although multiple techniques have been reported for outpatient shoulder surgery, interscalene brachial plexus block (ISBPB) is currently the most preferred technique. Supraclavicular, infraclavicular, and axillary brachial plexus blocks, however, are all commonly used and effective PNBs for outpatient surgery and analgesia of the arm, forearm, and hand. SUMMARY: ISBPB is currently the most beneficial PNB for outpatient shoulder surgery. Supraclavicular block functionally can be considered an alternative to the traditional ISBPB; however, additional studies are required before routine use can be recommended. Although the review identified several reports with benefits of one PNB technique over the others, the existing literature suggests that many of these techniques may be interchangeable with regards to procedures of the distal upper extremity. Future studies are indicated to help standardize the techniques, selection, and postoperative management of PNBs for specific surgical indications.
机译：审查的目的：在门诊手术中越来越多地使用周围神经阻滞（PNB）。最近的一些报道为我们对这种情况下特定手术程序的最佳PNB技术的理解做出了贡献。在这篇综述中，我们总结了有关上肢门诊手术使用PNB适应症的文献。最近的发现：尽管最近的许多研究都集中在PNB的技术方面，但很少有研究集中在基于证据的适应症或其在非卧床环境中的效用。现有文献表明，尽管已经报道了门诊肩部手术的多种技术，但是斜肌间臂丛神经阻滞（ISBPB）是目前最优选的技术。锁骨上，锁骨下和腋下臂丛神经阻滞都是门诊手术和手臂，前臂和手镇痛的常用PNB。简介：ISBPB是目前最有利于门诊肩部手术的PNB。功能上锁骨上的阻滞可以被认为是传统ISBPB的替代方法。但是，在建议常规使用之前，还需要进行其他研究。尽管该综述确定了几种报告，其中一种PNB技术优于其他PNB技术，但现有文献表明，就远端上肢的操作而言，这些技术中的许多可以互换。指出有待进一步研究以帮助标准化PNB的技术，选择和特定手术适应症的术后管理。

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