Bhoi Sanjeev, Chandra Amit, Galwankar Sagar
Department of Emergency Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
J Emerg Trauma Shock. 2010 Jan;3(1):82-8. doi: 10.4103/0974-2700.58655.
Peripheral nerve blocks preclude the need for procedural sedation and provide adequate anesthesia during painful procedures. This technique can be performed in the emergency department with the aid of ultrasound imaging to identify target nerves. We describe eight cases of upper and lower extremity nerve blocks performed under ultrasound guidance in the emergency department of the Jai Prakash Narayan Trauma Centre, All India Institute of Medical Sciences, New Delhi. Only two of the patients, both with extensive injuries, required any additional anesthesia during the subsequent procedures and all of them reported significant pain control and muscle relaxation.
外周神经阻滞无需进行程序性镇静，且在疼痛操作过程中可提供充分的麻醉效果。借助超声成像技术，该技术可在急诊科实施，以识别目标神经。我们描述了在新德里全印度医学科学研究所贾伊·普拉卡什·纳拉扬创伤中心急诊科，在超声引导下进行的8例上肢和下肢神经阻滞病例。仅2例伤势严重的患者在后续操作中需要额外麻醉，且所有患者均称疼痛得到显著控制，肌肉松弛。
