Blunk J A
Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Schmerz. 2013 Jun;27(3):325-37; quiz 337-9. doi: 10.1007/s00482-012-1286-6.
Peripheral nerve blocks are currently performed relatively blind even in the most complex anatomical structures and physicians mostly rely on palpable anatomical landmarks on the surface. Ultrasound has become an indispensable part of the modern medical world and has long since found its way into almost all medical professions. More and more this trend also reaches interventional pain physicians as it is possible to accurately target structures, to track the needle course during the intervention and to visualize the spread of the local anesthetic. Another advantage compared to other radiological techniques is the profound radiation safety for patients as well as for personnel performing the intervention. A deep understanding of anatomy and its correlate in ultrasound images is one of the most important requirements for the successful use of these interventional techniques. Moreover, the safe performance of the procedure depends on the simultaneous hand-eye coordination. Nevertheless, despite the euphoria ultrasound technology should only be used in pain management with sufficient indications.
目前,即使在最复杂的解剖结构中,周围神经阻滞的操作也相对盲目,医生大多依赖体表可触及的解剖标志。超声已成为现代医学领域不可或缺的一部分,并且早已进入几乎所有医学专业。这种趋势越来越多地影响到介入疼痛科医生,因为超声能够精确地定位结构,在介入过程中追踪针的路径,并可视化局麻药的扩散。与其他放射技术相比,另一个优势是对患者和进行介入操作的人员具有极高的辐射安全性。对解剖结构及其在超声图像中的对应关系有深入理解是成功应用这些介入技术的最重要要求之一。此外,该操作的安全实施取决于同时具备的手眼协调能力。然而,尽管人们对超声技术充满热情,但只有在有充分指征时才应将其用于疼痛管理。