Svetlov V A, Kozlov S P, Marupov A M, Gnezdilov A V
Vestn Akad Med Nauk SSSR. 1990(12):50-4.
An original technique of the brachial plexus block from the axillary approach is presented. The recommended technique suggests introduction of a rigid catheter into the paraneural space of the plexus up to the level of the sternoclavicular triangle. This provides for a high efficacy of the anesthesia and prevents development of complications. The methodology was elaborated on the basis of anatomic (n = 20) and clinicoradiological (n = 29) studies. The clinical evidence was obtained from 115 anesthesias for long-term reconstructive and plastic operations on the upper limb. A protocol for conduction anesthesia maintenance by repeated administration of lidocaine, trimecaine, and bupivacaine solutions is offered.
本文介绍了一种从腋路进行臂丛神经阻滞的原创技术。推荐的技术是将一根硬导管插入臂丛神经的神经旁间隙，直至胸锁乳突肌三角水平。这可提高麻醉效果并预防并发症的发生。该方法是在解剖学研究（n = 20）和临床放射学研究（n = 29）的基础上制定的。临床证据来自115例上肢长期重建和整形手术的麻醉。文中还提供了通过重复注射利多卡因、三甲卡因和布比卡因溶液来维持传导麻醉的方案。
