Marhofer Peter, Willschke Harald, Kettner Stephan C
Department of Anaesthesia, Intensive Care Medicine and Pain Therapy, Medical University of Vienna, Vienna, Austria.
Paediatr Anaesth. 2012 Jan;22(1):65-71. doi: 10.1111/j.1460-9592.2011.03744.x. Epub 2011 Nov 14.
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.
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。