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关节镜下肩关节重建:快速康复与门诊治疗

Arthroscopic shoulder reconstruction: fast-track recovery and outpatient treatment.

作者信息

Mayfield J B, Carter C, Wang C, Warner J J

机构信息

Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.

出版信息

Clin Orthop Relat Res. 2001 Sep(390):10-6.

Abstract

Arthroscopic shoulder reconstructive surgery has been handled in many different ways. However, there currently is significant evidence and experience to show that doing this surgery on an outpatient basis is not only cost-effective and efficient, but safe and beneficial to patients. New arthroscopic surgical techniques and the use of regional interscalene anesthesia have been shown to provide effective and comfortable intraoperative conditions, while allowing for prolonged analgesia and quicker recovery with minimal side effects. The authors will discuss their approach to surgery, anesthesia, and recovery for outpatient shoulder reconstruction.

摘要

肩关节镜重建手术有多种不同的处理方式。然而,目前有大量证据和经验表明,门诊进行这种手术不仅具有成本效益且高效,而且对患者安全且有益。新的关节镜手术技术和区域肌间沟麻醉的使用已被证明能提供有效且舒适的术中条件,同时能实现长时间镇痛和更快恢复,且副作用最小。作者将讨论他们对门诊肩关节重建手术、麻醉及恢复的处理方法。

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