Dilger J A
Department of General Anesthesiology, Cleveland Clinic Foundation, Ohio, USA.
Anesthesiol Clin North Am. 2000 Jun;18(2):319-40. doi: 10.1016/s0889-8537(05)70166-8.
Lower extremity nerve blocks have not become as popular as upper extremity blocks for anesthesia; however, the use of lower extremity nerve blocks will become more widespread, as teaching programs are now providing more regional anesthesia experiences for their trainees so that the anesthesia provider will have the familiarity to use these blocks. To increase the enthusiasm among our surgical colleagues, we must begin to use these blocks for surgery, and if the block must be supplemented with local anesthetic or a light general anesthetic, we must educate them that the block is not a failure but a success, as it will provide analgesia after surgery in a method of multimodal pain control. Lower extremity nerve blocks will become more popular when it is realized that they are an effective way of increasing operating room efficiency. Because the block may be placed in an induction room, there is no induction or emergence in the operating room. Patients may be discharged without the need for pain medications, thus lowering the incidence of nausea postoperatively and decreasing PACU and discharge times.
下肢神经阻滞在麻醉领域不如上肢神经阻滞那么普及；然而，随着教学项目现在为学员提供更多区域麻醉经验，使麻醉医生更熟悉使用这些阻滞方法，下肢神经阻滞的应用将会更加广泛。为了提高外科同事对其的热情，我们必须开始在手术中使用这些阻滞，如果阻滞必须辅以局部麻醉药或浅全身麻醉，我们必须告知他们该阻滞并非失败而是成功的，因为它将在多模式疼痛控制中为术后提供镇痛。当认识到下肢神经阻滞是提高手术室效率的有效方法时，它将会更受欢迎。因为阻滞可以在诱导室进行，手术室无需进行诱导或苏醒。患者无需使用止痛药物即可出院，从而降低术后恶心的发生率，并缩短在麻醉后监护室（PACU）的停留时间和出院时间。
