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超声引导下的上肢阻滞——改善临床实践的技巧与窍门

Ultrasound-guided upper extremity blocks - tips and tricks to improve the clinical practice.

作者信息

Marhofer Peter, Willschke Harald, Kettner Stephan C

机构信息

Department of Anaesthesia, Intensive Care Medicine and Pain Therapy, Medical University of Vienna, Vienna, Austria.

出版信息

Paediatr Anaesth. 2012 Jan;22(1):65-71. doi: 10.1111/j.1460-9592.2011.03744.x. Epub 2011 Nov 14.

DOI:10.1111/j.1460-9592.2011.03744.x
PMID:22082183
Abstract

Brachial plexus blockade in children can be used for a broad spectrum of clinical indications. Nevertheless, these regional anesthetic techniques are still underused in pediatric anesthesia that is mainly because of insufficient descriptions of the particular techniques. Ultrasound guidance enables direct visualization of neuronal and adjacent anatomical structures, the cannula, and the spread of local anesthetic. The most important issue in this context is theoretical background knowledge and intensive training of hand skills. The following review article discusses all relevant aspects of ultrasound-guided brachial plexus blockade.

摘要

小儿臂丛神经阻滞可用于广泛的临床适应症。然而,这些区域麻醉技术在小儿麻醉中仍然未得到充分应用,这主要是因为对特定技术的描述不足。超声引导能够直接观察神经及相邻的解剖结构、套管以及局麻药的扩散情况。在这种情况下,最重要的问题是理论背景知识和手部技能的强化训练。以下综述文章讨论了超声引导下臂丛神经阻滞的所有相关方面。

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1
Ultrasound-guided upper extremity blocks - tips and tricks to improve the clinical practice.超声引导下的上肢阻滞——改善临床实践的技巧与窍门
Paediatr Anaesth. 2012 Jan;22(1):65-71. doi: 10.1111/j.1460-9592.2011.03744.x. Epub 2011 Nov 14.
2
[Ultrasound-guided peripheral nerve blockade].[超声引导下周围神经阻滞]
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引用本文的文献

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Median effective volume of 0.2% ropivacaine for ultrasound-guided supraclavicular brachial plexus block in children aged 1-6 years: a prospective dose-finding study.1-6岁儿童超声引导下锁骨上臂丛神经阻滞0.2%罗哌卡因的半数有效容量:一项前瞻性剂量探索研究。
Front Pediatr. 2023 May 12;11:1157447. doi: 10.3389/fped.2023.1157447. eCollection 2023.
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Healthcare (Basel). 2021 Aug 23;9(8):1083. doi: 10.3390/healthcare9081083.
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Comparison of the lateral sagittal and costoclavicular approaches for ultrasound-guided infraclavicular block in pediatric patients: a prospective randomized study.
小儿患者超声引导下锁骨下阻滞的外侧矢状位与肋锁入路比较:一项前瞻性随机研究
Braz J Anesthesiol. 2024 Sep-Oct;74(5):744178. doi: 10.1016/j.bjane.2021.05.005. Epub 2021 Jun 6.
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Our Ultrasound Guided Brachial Plexus Block Experiences for Upper Extremity Surgeries in Pediatric Patients.我们在小儿患者上肢手术中进行超声引导下臂丛神经阻滞的经验。
Sisli Etfal Hastan Tıp Bul. 2020 Jun 1;54(2):231-235. doi: 10.14744/SEMB.2018.98958. eCollection 2020.
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