Neal Joseph M, Gerancher J C, Hebl James R, Ilfeld Brian M, McCartney Colin J L, Franco Carlo D, Hogan Quinn H
Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA, USA.
Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70. doi: 10.1097/AAP.0b013e31819624eb.
Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine's commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research.
臂丛神经阻滞是大多数麻醉医生外周神经区域麻醉实践的基石。作为美国区域麻醉与疼痛医学学会致力于提供与区域麻醉和镇痛相关的强化循证教育的一部分,本文是我们2002年上肢麻醉全面综述的完整更新。综述内容聚焦于:(1)相关解剖结构;(2)臂丛神经的穿刺途径及优化阻滞质量的技术;(4)局部麻醉药和辅助用药的药理学;(5)并发症;(6)围手术期问题;以及(6)未来研究面临的挑战。