Kill Clemens, Steinfeldt Thorsten
Klinik fur Anästhesie und Intensivtherapie, Universitätsklinikum Giessen und Marburg, Standort Marburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jul-Aug;41(7-8):476-81. doi: 10.1055/s-2006-949509.
The use of peripheral catheter techniques for regional anaesthesia and analgesia is quite common today. Although electrical nerve stimulation facilitates the correct placement of the insertion cannula, nobody knows where exactly the tip of the advanced catheter will be located after insertion. With the help of stimulation nerve catheters the stimulation of the target nerve via the tip of the catheter during insertion enables a placement nearby the nerve without additional devices. These new catheter systems require--in comparison to the conventional--a modified insertion technique. This article illustrates how to use these catheters in clinical practice and provides information about investigations to success rate and failure.
如今，外周导管技术用于区域麻醉和镇痛十分常见。尽管神经电刺激有助于正确放置穿刺套管，但没人确切知道推进后的导管尖端在插入后会位于何处。借助刺激神经导管，在插入过程中通过导管尖端对目标神经进行刺激，无需额外设备就能将导管放置在神经附近。与传统导管系统相比，这些新型导管系统需要改进的插入技术。本文阐述了如何在临床实践中使用这些导管，并提供了有关成功率和失败率调查的信息。
