Andersson Annalena, Akeson Jonas, Dahlin Lars B
Department of Clinical Sciences in Malmö, Anaesthesia and Intensive Care, Lund University, Malmö University Hospital, Malmö, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 2006;40(4):225-9. doi: 10.1080/02844310600836778.
An axillary brachial plexus nerve block by a transarterial approach is commonly used to achieve regional anaesthesia for hand surgery. We designed a retrospective study to evaluate efficacy and safety of the technique for acute and elective operations. Anaesthetic records of 189 of all 5520 patients (1996-2000) who had axillary brachial plexus blocks for hand surgery were reviewed, and results compared with complications recorded in the anaesthetic register and in the hand surgery records. Successful axillary block was achieved in 5128/5520 (93%) of patients, according to anaesthetic charts, and primarily in 157/189 (83%), and after supplementation in 171/189 (90%), according to anaesthetic records. Four patients had a toxic drug reaction or axillary haematoma with a transient neurological deficit. Medical complications were recorded in the anaesthetic register in less than 0.7% of axillary brachial plexus procedures. Axillary brachial plexus block by a transarterial approach is effective and safe in hand surgery.
经动脉途径的腋路臂丛神经阻滞常用于手部手术的区域麻醉。我们设计了一项回顾性研究来评估该技术用于急诊和择期手术的有效性和安全性。回顾了1996年至2000年间5520例接受腋路臂丛阻滞进行手部手术患者中189例的麻醉记录，并将结果与麻醉登记册和手部手术记录中记载的并发症进行比较。根据麻醉记录，5520例患者中有5128例（93%）成功实施了腋路阻滞，其中157例（83%）为初次成功，171例（90%）为补充后成功。4例患者出现药物中毒反应或腋窝血肿并伴有短暂性神经功能缺损。麻醉登记册中记录的医疗并发症在腋路臂丛阻滞手术中不到0.7%。经动脉途径的腋路臂丛神经阻滞在手部手术中有效且安全。
