Voronov Polina, Suresh Santhanam
Department of Anesthesiology, Children's Memorial Hospital, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Curr Opin Anaesthesiol. 2008 Jun;21(3):317-22. doi: 10.1097/ACO.0b013e3282fbf557.
The present article will review the current technology and available literature regarding regional anesthesia in infants and children undergoing head and neck surgery.
Regional anesthesia can be utilized in a variety of surgical procedures on the head and neck. The reporting of multiple techniques along with prospective randomized trials that have looked into the efficacy of these blocks in children have led to a sweeping increase in their use in children for postoperative pain relief.
The trigeminal nerve, along with the cervical nerve roots, supplies most of the sensory supply to the head and neck. The knowledge and application of the anatomical distribution of this area can increase the utilization of these blocks for a variety of different settings. The increased use of these blocks can reduce the need for additional postoperative analgesic that could in turn lead to fast-tracking of these patients and decrease the incidence of nausea and vomiting in the postoperative period.
本文将综述有关接受头颈外科手术的婴幼儿区域麻醉的当前技术和现有文献。
区域麻醉可用于多种头颈外科手术。多种技术的报道以及探究这些阻滞在儿童中疗效的前瞻性随机试验，导致其在儿童术后疼痛缓解中的使用大幅增加。
三叉神经以及颈神经根为头颈部提供了大部分感觉神经支配。了解并应用该区域的解剖分布，可增加这些阻滞在各种不同情况下的应用。这些阻滞使用的增加可减少对额外术后镇痛的需求，进而实现这些患者的快速康复，并降低术后恶心和呕吐的发生率。
Zotero 插件