Neuburger Michael, Büttner Johannes
Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Oct;42(10):732-8. doi: 10.1055/s-2007-993023.
In the present case a reconstruction of the anterior and posterior cruciate ligament is planned. In general, major surgery of the knee as well as reconstruction of the anterior cruciate ligament is very painful. Continuous peripheral nerve blocks provide good analgesia and are superior to parenteral opioids concerning quality of analgesia and mobility and postoperative range of motion of the knee. Compared to the neuraxial catheters, cPNB have less side effects.
在本病例中,计划进行前交叉韧带和后交叉韧带重建。一般来说,膝关节的大手术以及前交叉韧带重建手术都非常疼痛。持续外周神经阻滞提供良好的镇痛效果,在镇痛质量、膝关节活动度及术后活动范围方面优于胃肠外阿片类药物。与椎管内导管相比,连续外周神经阻滞的副作用更少。