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Differential blockade to assess surgical repair by intraoperative active mobilization in knee injuries-Beyond labour analgesia.

作者信息

Anand G Vijay, Kannan M, Palaramakrishnan D

机构信息

Department of Anesthesiology, Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India.

出版信息

Indian J Anaesth. 2011 Mar;55(2):181-3. doi: 10.4103/0019-5049.79903.

DOI:10.4103/0019-5049.79903
PMID:21712879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3106395/
Abstract

Motor-sparing selective epidural analgesia has long been practised in the field of labour analgesia. However, the utility of such techniques in other fields remain limited. We present the successful use of a similar technique of differential blockade in a case of quadriceps plasty with realignment of patella for recurrent dislocation of patella. A very low concentration of bupivacaine and fentanyl was used through continous epidural. The adequacy of repair was assessed intraoperatively by active movement of operated limb by patient himself.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5fd/3106395/de9b8a3dfb0e/IJA-55-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5fd/3106395/de9b8a3dfb0e/IJA-55-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5fd/3106395/de9b8a3dfb0e/IJA-55-181-g001.jpg

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本文引用的文献

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Chin Med J (Engl). 2010 Jan 20;123(2):178-83.
2
Comparison of maternal and neonatal outcomes with epidural bupivacaine plus fentanyl and ropivacaine plus fentanyl for labor analgesia.分娩镇痛中使用硬膜外布比卡因加芬太尼与罗哌卡因加芬太尼对母婴结局的比较。
Int J Obstet Anesth. 2005 Oct;14(4):288-93. doi: 10.1016/j.ijoa.2005.04.007.
3
The relative motor blocking potencies of epidural bupivacaine and ropivacaine in labor.
分娩时硬膜外布比卡因与罗哌卡因的相对运动阻滞效能
Anesth Analg. 2002 Jul;95(1):204-8, table of contents. doi: 10.1097/00000539-200207000-00036.
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Relative potencies of bupivacaine and ropivacaine for analgesia in labour.布比卡因和罗哌卡因在分娩镇痛中的相对效能。
Br J Anaesth. 1999 Mar;82(3):371-3. doi: 10.1093/bja/82.3.371.
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0.125% ropivacaine is similar to 0.125% bupivacaine for labor analgesia using patient-controlled epidural infusion.
Anesth Analg. 1998 Mar;86(3):527-31. doi: 10.1097/00000539-199803000-00015.
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Extradural pain relief in labour: bupivacaine sparing by extradural fentanyl is dose dependent.
Br J Anaesth. 1997 May;78(5):493-7. doi: 10.1093/bja/78.5.493.