Büttner Johannes, Meier Gisela
Zentrum für Intensivmedizin, Berufsgenossenschaftliche, Unfallklinik Murnau.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jul-Aug;41(7-8):491-7. doi: 10.1055/s-2006-949511.
Peripheral regional blocks are not only appropriate for intraoperative anaesthesia. More and more they become popular for postoperative analgesia after painful operations of the extremities. For this reason in this article only techniques are presented, which are suitable as well for a "single shot" block as for a continuous technique with an indwelling catheter. In detail the interscalene technique according to Meier, the infraclavicular block according to Kilka, Geiger, and Mehrkens (or alternatively according to Raj, modified by Borgeat) and the perivascular axillary brachial plexus block are described. The continuous technique of the block of the suprascapular nerve is very helpful in patients with chronic pain in the shoulder, if no surgery is performed. The authors are very interested in a praxis relevant description of the techniques including numerous "tips and tricks".
外周区域阻滞不仅适用于术中麻醉。对于四肢疼痛手术后的术后镇痛，它们越来越受欢迎。因此，本文仅介绍适用于“单次”阻滞以及留置导管连续技术的方法。详细描述了根据迈尔的肌间沟技术、根据基尔卡、盖格和梅尔肯斯（或者根据拉吉并由博尔热修改）的锁骨下阻滞以及血管周围腋路臂丛阻滞。如果不进行手术，肩胛上神经阻滞的连续技术对肩部慢性疼痛患者非常有帮助。作者非常关注对这些技术的实用相关描述，包括众多“技巧和窍门”。
