Rouholamin E, Harris D
Hand and Microsurgery Service, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire.
Ann R Coll Surg Engl. 1990 Mar;72(2):90-3.
A total of 300 consecutive anaesthetic axillary blocks was performed over a period of 18 months in 291 patients. These blocks were carried out for emergency and elective hand surgery. Patients did not require any preparation or starving; 20-30 ml of 1% prilocaine according to the size of the patient is used for the block. A minimum induction time of 45 min is needed and patients are able to leave the hospital 20 min-2 h after operation, depending on the nature of the operation. No operation had to be abandoned due to failure of the block. Eleven patients required further injection of local anaesthetic during the operation. The duration of operations ranged from 10 to 130 min. Only 20% needed postoperative analgesia. The technique is easy to perform, it is safe and has long-lasting analgesic effect. It is an efficient, economical method of treatment, well tolerated and often preferred by patients. We think axillary block anaesthesia should be more generally used in hand and orthopaedic units.
在18个月的时间里，对291例患者连续进行了300次腋路阻滞麻醉。这些阻滞用于急诊和择期手部手术。患者无需任何准备或禁食；根据患者体型使用20 - 30毫升1%的丙胺卡因进行阻滞。诱导时间最短需要45分钟，术后患者根据手术性质在20分钟至2小时后即可出院。没有因为阻滞失败而不得不放弃手术的情况。11例患者在手术过程中需要进一步注射局部麻醉药。手术时间从10分钟到130分钟不等。只有20%的患者需要术后镇痛。该技术操作简便、安全且具有长效镇痛效果。它是一种高效、经济的治疗方法，耐受性良好，且常为患者所青睐。我们认为腋路阻滞麻醉在手外科和骨科应更广泛地应用。
