Hofmann-Kiefer Klaus, Jacob Matthias, Rehm Markus, Lang Philip
Klinik für Anaesthesiologie der Universität München.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jul;44(7-8):522-9. doi: 10.1055/s-0029-1237107. Epub 2009 Jul 23.
Regional anaesthesia has gained increasing importance during the last decades. Successful regional anaesthesia for shoulder surgery requires a detailed knowledge of the relevant anatomy. Interscalene nerve blocks are most frequently used to anaesthetize the shoulder and among them the techniques according to Winnie, Meier, Pippa and Borgeat are the most popular. The techniques described by Meier and Borgeat are characterized by low complication rates. They are efficient for the majority of surgical procedures and therefore offer an interesting supplementation or an alternative to general anaesthesia. When carried out as a catheter-technique they provide a high quality postoperative pain therapy.
在过去几十年中，区域麻醉的重要性日益增加。肩部手术成功实施区域麻醉需要详细了解相关解剖结构。肌间沟神经阻滞是肩部麻醉最常用的方法，其中根据温妮、迈尔、皮帕和博尔热的技术最为流行。迈尔和博尔热描述的技术并发症发生率低。它们对大多数外科手术有效，因此是全身麻醉的一种有趣补充或替代方法。当作为导管技术实施时，它们能提供高质量的术后疼痛治疗。
