超声评估神经刺激引导下肌间沟阻滞失败后颈部血肿和阻滞补救

Ultrasonographic evaluation of neck hematoma and block salvage after failed neurostimulation-guided interscalene block.

机构信息

Department of Anesthesiology, West Virginia University School of Medicine, One Medical Center Dr, Morgantown, WV 26506-9134, USA.

出版信息

J Clin Anesth. 2010 Nov;22(7):560-1. doi: 10.1016/j.jclinane.2009.09.012.

DOI:10.1016/j.jclinane.2009.09.012

PMID:21056816

Abstract

Ultrasound-guided regional anesthetic techniques have shown some advantages over conventional paresthesia and neurostimulation techniques. We report the case of a neurostimulation-guided continuous interscalene block that would have ended in complication were it not for experience with ultrasound-guided regional anesthesia. Familiarity with ultrasound-guided block techniques permitted assessment of a neck hematoma during interscalene block and ultimately allowed successful peripheral nerve block.

摘要

超声引导下的区域麻醉技术相对于传统的感觉定位和神经刺激技术显示出一些优势。我们报告了一例神经刺激引导下的连续肌间沟阻滞，如果不是因为有超声引导下区域麻醉的经验，该阻滞可能会导致并发症。熟悉超声引导下的阻滞技术可以在肌间沟阻滞期间评估颈部血肿，并最终实现外周神经阻滞的成功。