Schulz-Stübner S
Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, 52242, USA.
Anaesthesist. 2003 Jul;52(7):643-56; quiz 657. doi: 10.1007/s00101-003-0532-9. Epub 2003 Jun 18.
This review explains the different approaches to the brachial plexus (posterior cervical, interscalene, supra- and infraclavicular, and axillary) and their advantages and disadvantages (indications, contraindications, and complications) for surgery and postoperative or chronic pain management. One of the focussed areas of this review is the use of continuous catheter techniques. Information about the most commonly used local anesthetics as well as adjuncts suggested in the literature is summarized. As essential components for the success of those techniques, organizational and documentation requirements are described. In summary, regional techniques for single shot or continuous block of the brachial plexus are an efficient and safe way of providing anesthesia and analgesia for surgery or pain in the region of the shoulder, arm, or hand.
本综述阐述了臂丛神经阻滞的不同方法（颈后、肌间沟、锁骨上下及腋路）及其在手术、术后或慢性疼痛管理中的优缺点（适应证、禁忌证及并发症）。本综述的重点领域之一是连续导管技术的应用。文中总结了最常用的局部麻醉药以及文献中建议的辅助用药的相关信息。作为这些技术成功的关键要素，还描述了组织和记录要求。总之，臂丛神经单次或连续阻滞的区域技术是为肩部、手臂或手部手术或疼痛提供麻醉和镇痛的一种有效且安全的方法。
