在医生所有的社区日间手术中心行肩部手术的肌间沟阻滞。
Interscalene block for shoulder surgery in physician-owned community ambulatory surgery centers.
机构信息
Summit Orthopedics, St. Paul, Minnesota 55102, USA.
出版信息
Arthroscopy. 2010 Sep;26(9):1149-52. doi: 10.1016/j.arthro.2010.01.008. Epub 2010 Jun 29.
PURPOSE
To retrospectively report on a series of patients who had interscalene block regional anesthesia performed for outpatient open and arthroscopic shoulder surgical procedures in a community-based ambulatory surgery center setting.
METHODS
We reviewed the cases of 1,945 patients who had interscalene block regional anesthesia performed during an 8-year period.
RESULTS
The complication rate was 0.63%, with all complications occurring in the immediate postoperative period, none of which were permanent.
CONCLUSIONS
With an expert, experienced anesthesia team, the interscalene block can be a safe method (temporary complication rate, 0.63%) of intraoperative anesthesia and perioperative analgesia for outpatient open and arthroscopic shoulder surgery in physician-owned ambulatory surgery centers.
LEVEL OF EVIDENCE
Level IV, therapeutic case series.
目的
回顾性报告在社区型门诊手术中心环境下，为门诊开放和关节镜肩关节手术进行肌间沟阻滞区域麻醉的一系列患者。
方法
我们回顾了 1945 例在 8 年期间接受肌间沟阻滞区域麻醉的患者的病例。
结果
并发症发生率为 0.63%，所有并发症均发生在术后即刻，且均为永久性的。
结论
在经验丰富的专家麻醉团队的配合下，肌间沟阻滞可为医生所有的门诊手术中心的门诊开放和关节镜肩关节手术提供术中麻醉和围手术期镇痛的安全方法（暂时性并发症发生率为 0.63%）。
证据水平
IV 级，治疗性病例系列。
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