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犬臂丛神经的椎旁阻滞

Paravertebral blockade of the brachial plexus in dogs.

作者信息

Lemke Kip A, Creighton Catherine M

机构信息

Department of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island, Canada, C1A 4P3.

出版信息

Vet Clin North Am Small Anim Pract. 2008 Nov;38(6):1231-41, vi. doi: 10.1016/j.cvsm.2008.06.003.

Abstract

Local anesthetic techniques have the unique ability to block peripheral nociceptive input associated with surgical trauma and inflammation and to prevent sensitization of central nociceptive pathways and the development of pathologic pain. Complete neural blockade of the canine brachial plexus is difficult to achieve using the traditional axillary technique. This article describes paravertebral blockade of the brachial plexus in dogs and a new modified paravertebral technique. Both techniques are relatively easy to perform and produce complete blockade of the forelimb, including the shoulder. A review of relevant clinical anatomy and guidelines for using electrical nerve locators are also included.

摘要

局部麻醉技术具有独特的能力,可阻断与手术创伤和炎症相关的外周伤害性输入,并防止中枢伤害性通路致敏和病理性疼痛的发展。使用传统的腋路技术很难实现犬臂丛神经的完全神经阻滞。本文描述了犬臂丛神经的椎旁阻滞及一种新的改良椎旁技术。这两种技术操作相对容易,能使前肢包括肩部产生完全阻滞。文中还包括相关临床解剖学回顾以及使用电神经定位仪的指南。

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