Department of Anaesthetics, Queen's University, Belfast, UK.
Anaesthesia. 2010 Apr;65 Suppl 1:57-66. doi: 10.1111/j.1365-2044.2010.06240.x.
The advances in regional techniques for blocks of the lower limb have been driven primarily by the need to produce effective analgesia in the postoperative period and beyond. These techniques are commonly performed before or after central neuraxial blockade when this technique is used to provide anaesthesia and analgesia for the surgical procedure. Increasingly, modern practice demands a shorter hospital stay, improved patient expectations and early mobilisation. This article describes the current methods and reasons for performing specific blocks to the lower limb and the management of these blocks particularly in the postoperative period.
下肢区域阻滞技术的进步主要是出于在术后及更长期产生有效镇痛的需求。这些技术通常在使用中枢神经轴阻滞来提供手术麻醉和镇痛之前或之后进行。现代实践越来越需要缩短住院时间、提高患者期望和早期活动。本文描述了目前用于下肢特定阻滞的方法和原因,以及这些阻滞在术后的管理。