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锁骨上臂丛神经阻滞的外侧入路

Lateral approach for supraclavicular brachial plexus block.

作者信息

Sahu Dk, Sahu Anjana

机构信息

Department of Anaesthesiolgy, Jagjivanram Railway Hospital, Mumbai, India.

出版信息

Indian J Anaesth. 2010 May;54(3):215-8. doi: 10.4103/0019-5049.65364.

Abstract

A lateral approach described by Volker Hempel and Dr. Dilip Kotharihas been further studied, evaluated and described in detail in the present study. The aim of this study was to evaluate lateral approach of supraclavicular brachial plexus block, mainly in terms of successes rate and complication rate. The study was conducted in secondary level hospital and tertiary level hospital from 2004 to 2008. It was a prospective nonrandomized open-level study. Eighty-two patients of both sexes, aged between 18 and 65 years with ASA Grade I and II scheduled to undergo elective major surgery of the upper limb below the midarm, were selected for this new lateral approach of brachial plexus block. The onset and duration of sensory and motor block, any complications and need for supplement anaesthesia were observed. Success and complication rate were calculated in percentage. Average onset and duration of sensory and motor block was calculated as mean ± SD and percentage. Out of 82 patients, 75 (92%) have got successful block with no significant complication in any case.

摘要

沃尔克·亨佩尔(Volker Hempel)和迪利普·科塔里(Dilip Kothari)博士描述的一种外侧入路在本研究中得到了进一步研究、评估并详细描述。本研究的目的是评估锁骨上臂丛神经阻滞的外侧入路,主要从成功率和并发症发生率方面进行评估。该研究于2004年至2008年在二级医院和三级医院进行。这是一项前瞻性非随机开放水平研究。选择了82例年龄在18至65岁之间、ASA分级为I级和II级、计划接受上臂中部以下择期上肢大手术的男女患者,采用这种新的臂丛神经阻滞外侧入路。观察感觉和运动阻滞的起效时间和持续时间、任何并发症以及补充麻醉的需求。成功率和并发症发生率以百分比计算。感觉和运动阻滞的平均起效时间和持续时间以平均值±标准差及百分比计算。82例患者中,75例(92%)阻滞成功,无一例出现明显并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d62/2933479/01ce9eb6e4cc/IJA-54-215-g001.jpg

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