Kato Jitsu
Department of Anesthesiology, Nihon University School of Medicine, Tokyo 173-8610.
Masui. 2008 May;57(5):564-74.
Ultrasonographic guidance has been introduced as an aid to nerve localization, for brachial plexus blockade in the interscalene and infraclavicular regions. Ultrasound-guided interscalene approach and infraclavicular approach were established as an excellent method to provide good analgesia during surgery and relieve post-surgical pain after shoulder or upper arm surgery and forearm or hand surgery respectively. Single shot injection and continuous catheter approach in both nerve blocks were described together with clinical key points based on the ultrasound images.
超声引导已被引入作为神经定位的辅助手段,用于肌间沟和锁骨下区域的臂丛神经阻滞。超声引导下的肌间沟法和锁骨下法分别被确立为在肩部或上臂手术以及前臂或手部手术期间提供良好镇痛和缓解术后疼痛的极佳方法。文中描述了两种神经阻滞的单次注射和连续导管法,并结合超声图像阐述了临床要点。