手部手术区域麻醉的前瞻性审计。
A prospective audit of regional anaesthesia for hand surgery.
作者信息
Porter J M
机构信息
Plastic Surgery and Burns Unit, Aberdeen Royal Infirmary.
出版信息
Ann R Coll Surg Engl. 1992 Mar;74(2):89-94.
A prospective audit has been carried out of 153 consecutive regional anaesthetics for hand surgery, using intravenous regional anaesthesia (IVRA), axillary block or multiple peripheral nerve blocks in the upper limb. Surgery was carried out successfully in 147 patients. Apart from two patients, who complained of paraesthesia after regional nerve blocks, there were no side-effects. A total of 13 patients said that they would have preferred a general anaesthetic. Regional anaesthesia was found to be suitable for use by members of the surgical staff, but success was only assured by meticulous attention to detail and by careful safety precautions. Regional anaesthesia should not be attempted by inexperienced, unsupervised hand surgeons.
我们对连续进行的153例手部手术区域麻醉进行了前瞻性审计，这些手术采用上肢静脉区域麻醉（IVRA）、腋路阻滞或多条周围神经阻滞。147例患者手术成功。除2例患者在区域神经阻滞后出现感觉异常外，无其他副作用。共有13例患者表示他们更倾向于全身麻醉。发现区域麻醉适合手术人员使用，但只有通过对细节的精心关注和仔细的安全预防措施才能确保成功。经验不足、无人监督的手外科医生不应尝试区域麻醉。
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