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[儿童面部周围神经阻滞]

[Peripheral nerve blocks of the face in children].

作者信息

Dadure C, Sola C, Choquet O, Capdevila X

机构信息

Service d'anesthésie et réanimation A, CHU Lapeyronie, Montpellier, France.

出版信息

Ann Fr Anesth Reanim. 2012 Jan;31(1):e17-20. doi: 10.1016/j.annfar.2011.11.015. Epub 2011 Dec 15.

Abstract

The sensory innervation of the face is provided by the three major nerves, emerging from trigeminal nerve: the ophthalmic, maxillary and mandibular nerve. Nerve blocks of the face or head are not widely used in practice in France. However, regional anaesthesia has shown its value in terms of quality of analgesia and perioperative opioid economy in children and adults. Facial peripheral nerve blocks are divided into two categories: superficial trigeminal nerve blocks and deeper blocks such as the mandibular or suprazygomatic maxillary block. The performance of these blocks is simple provided the usual safety rules are followed. As for other peripheral nerve blocks, ultrasound guidance has shown its interest for the realization of facial nerve blocks to identify anatomical structure and to locate the spread of the injected local anaesthetic.

摘要

面部的感觉神经支配由三叉神经发出的三大神经提供

眼神经、上颌神经和下颌神经。在法国,面部或头部的神经阻滞在实际应用中并不广泛。然而,区域麻醉已在儿童和成人的镇痛质量和围手术期阿片类药物节约方面显示出其价值。面部周围神经阻滞分为两类:浅表三叉神经阻滞和更深层次的阻滞,如下颌或颧上上颌阻滞。只要遵循常规安全规则,这些阻滞的操作很简单。与其他周围神经阻滞一样,超声引导已显示出其对面部神经阻滞的作用,可用于识别解剖结构和定位注入的局部麻醉药的扩散。

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