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透视引导下颈丛阻滞用于颈动脉内膜切除术——病例报告

Fluoroscopy guided cervical plexus block for carotid endarterectomy - a case report.

作者信息

Nerurkar Aparna A, Laheri Vandana V, Karnik Hemangi S, Mohite Shubha N

机构信息

Associate Professor, Department Of Anaesthesiology, Lokmanya Tilak Municipa Medical College and, Lokmanya Tilak Municipal General Hospital.

出版信息

Indian J Anaesth. 2009 Jun;53(3):352-4.

Abstract

Carotid endarterectomy(CEA) is being increasingly performed under regional anaesthesia supplemented with sedation, the world over. Deep or superficial cervical plexus blocks or a combination of both have been found to be equally effective. Various imaging modalities like fluoroscopy, computed tomography (CT), CT-fluoroscopy, ultrasound etc have been used to increase the success rates of the technique and to reduce the rate of complications associated with the block. These are especially useful given the varying landmarks quoted by various authors as also inter-individual differences in anatomy. We present a case report of how fluoroscopy aided us in administering cervical plexus block.

摘要

在全球范围内,越来越多的颈动脉内膜切除术(CEA)在区域麻醉并辅以镇静的情况下进行。已发现颈深丛或浅丛阻滞或两者联合使用同样有效。为提高该技术的成功率并降低与阻滞相关的并发症发生率,人们使用了各种成像方式,如荧光透视、计算机断层扫描(CT)、CT荧光透视、超声等。鉴于不同作者引用的不同体表标志以及个体解剖结构差异,这些成像方式尤其有用。我们在此呈现一份病例报告,介绍荧光透视如何辅助我们实施颈丛阻滞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdae/2900130/a2591a55f650/IJA-53-352-g001.jpg

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