Antonakakis John G, Ting Paul H, Sites Brian
Department of Anesthesiology, Portsmouth Regional Hospital, 333 Borthwick Avenue, Portsmouth, NH 03801, USA.
Anesthesiol Clin. 2011 Jun;29(2):179-91. doi: 10.1016/j.anclin.2011.04.008. Epub 2011 May 5.
Ultrasound-guided regional anesthesia (UGRA) has increased in popularity over the past 5 years. This interest is reflected by the plethora of publications devoted to technique development, as well as randomized and controlled trials. Despite the excitement around ultrasonography, skeptics argue that there is a lack of evidence-based medicine to support the unequivocal adoption of UGRA as a "standard of care." This article summarizes and critically assesses current data comparing traditional approaches to localizing nerves with those that use ultrasound guidance. In addition, the potential benefits of UGRA that go beyond current information available from comparative studies are explored.
在过去5年中，超声引导下区域麻醉（UGRA）越来越受欢迎。大量致力于技术开发的出版物以及随机对照试验都反映了这种兴趣。尽管超声检查备受关注，但怀疑论者认为，缺乏循证医学来支持明确采用UGRA作为“护理标准”。本文总结并批判性地评估了将传统神经定位方法与使用超声引导的方法进行比较的当前数据。此外，还探讨了UGRA超出比较研究现有信息的潜在益处。
