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锁骨上区域麻醉再探讨——弯针技术

Supraclavicular regional anaesthesia revisited--the bent needle technique.

作者信息

Cornish P B

机构信息

Department of Anaesthesia, Wellington Hospital, Wellington, New Zealand.

出版信息

Anaesth Intensive Care. 2000 Dec;28(6):676-9. doi: 10.1177/0310057X0002800612.

DOI:10.1177/0310057X0002800612
PMID:11153296
Abstract

A new technique for achieving brachial plexus anaesthesia through the supraclavicular fossa is described. Its objectives are to minimize risk to the lung and provide for continuous as well as single-shot options. The plexus is approached through the lateral aspect of the supraclavicular fossa, and a bend in the shaft of the needle permits the tip of the needle to be directed tangential to the chest wall. An audit of 572 cases associated with the development of this technique is presented.

摘要

本文描述了一种通过锁骨上窝实现臂丛神经麻醉的新技术。其目标是将对肺部的风险降至最低,并提供连续和单次注射两种选择。通过锁骨上窝的外侧进入臂丛神经,针杆的弯曲使针尖能够与胸壁呈切线方向。本文还介绍了对与该技术发展相关的572例病例的审计情况。

相似文献

1
Supraclavicular regional anaesthesia revisited--the bent needle technique.锁骨上区域麻醉再探讨——弯针技术
Anaesth Intensive Care. 2000 Dec;28(6):676-9. doi: 10.1177/0310057X0002800612.
2
The catheter-over-needle assembly facilitates delivery of a second local anesthetic bolus to prolong supraclavicular brachial plexus block without time-consuming catheterization steps: a randomized controlled study.导管针组件有助于递送第二剂局部麻醉剂以延长锁骨上臂丛神经阻滞的时间,而无需耗时的导管插入步骤:一项随机对照研究。
Can J Anaesth. 2013 Jul;60(7):692-9. doi: 10.1007/s12630-013-9951-5. Epub 2013 May 1.
3
Supraclavicular brachial plexus blocks: review and current practice.锁骨上臂丛神经阻滞:综述与当前实践
Acta Anaesthesiol Belg. 2012;63(1):15-21.
4
[Ultrasound assisted brachial plexus anesthesia].[超声辅助臂丛神经麻醉]
Chirurg. 1992 Sep;63(9):759-60.
5
[Long-term experience with brachial plexus anesthesia].[臂丛神经麻醉的长期经验]
Aktuelle Traumatol. 1984 Oct;14(5):211-4.
6
[Interscalene brachial plexus catheter for anesthesia and postoperative pain therapy. Experience with a modified technique].[用于麻醉和术后疼痛治疗的肌间沟臂丛神经导管。改良技术的经验]
Anaesthesist. 1997 Aug;46(8):715-9. doi: 10.1007/s001010050458.
7
[Regional anesthesia-- approaches to the brachial plexus].[区域麻醉——臂丛神经阻滞方法]
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jul-Aug;41(7-8):491-7. doi: 10.1055/s-2006-949511.
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Avoidance of phrenic nerve paresis during continuous supraclavicular regional anaesthesia.连续锁骨上区域麻醉期间避免膈神经麻痹
Anaesthesia. 2007 Apr;62(4):354-8. doi: 10.1111/j.1365-2044.2007.04988.x.
9
[Axillary anesthesia using a needle with a modified tip].[使用带改良尖端的针头进行腋窝麻醉]
Magy Traumatol Orthop Helyreallito Seb. 1986;29(1):72-4.
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First rib palpation: a safer, easier technique for supraclavicular brachial plexus block.第一肋触诊:一种用于锁骨上臂丛神经阻滞的更安全、更简便的技术。
Anesth Analg. 1989 May;68(5):682-5.

引用本文的文献

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Cervical rib: A barrier to supraclavicular brachial plexus block.颈肋:锁骨上臂丛神经阻滞的一个障碍。
Indian J Anaesth. 2022 Feb;66(2):146-148. doi: 10.4103/ija.ija_880_21. Epub 2022 Feb 24.
2
Upper extremity regional anesthesia: essentials of our current understanding, 2008.上肢区域麻醉:我们当前的认识要点,2008年
Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70. doi: 10.1097/AAP.0b013e31819624eb.