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超声引导下的婴幼儿躯干和核心阻滞。

Ultrasound-guided trunk and core blocks in infants and children.

机构信息

Departments of Anesthesiology and Pediatrics, Nationwide Children's Hospital and The Ohio State University Medical Center, Columbus, OH, USA.

出版信息

J Anesth. 2013 Feb;27(1):109-23. doi: 10.1007/s00540-012-1476-5. Epub 2012 Sep 25.

Abstract

Regional anesthetic techniques for perioperative analgesia in children are being increasingly utilized with the reported advantages of providing superior analgesia, decreasing opioid consumption, and reducing opioid-related adverse effects. The following article reviews the available literature regarding core and trunk blocks in infants and children; specifically, transversus abdominis plane, ilioinguinal/iliohypogastric nerve, rectus sheath, lumbar plexus, and paravertebral and intercostal nerve blockade. The common indications and potential complications and adverse effects for each block are presented. Additionally, the anatomy and techniques needed for their performance are reviewed. Finally, a summary of the relevant literature in relation to each peripheral nerve block technique is included.

摘要

区域麻醉技术在儿童围手术期镇痛中的应用越来越广泛,其具有提供更好的镇痛效果、减少阿片类药物消耗和降低阿片类药物相关不良反应的优点。本文综述了关于婴儿和儿童核心和躯干阻滞的现有文献,具体包括腹横肌平面阻滞、髂腹下/髂腹股沟神经阻滞、腹直肌鞘阻滞、腰丛阻滞和椎旁神经及肋间神经阻滞。介绍了每种阻滞的常见适应证、潜在并发症和不良反应。此外,还回顾了每种阻滞所需的解剖结构和技术。最后,对每种周围神经阻滞技术的相关文献进行了总结。

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