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腘神经区域麻醉技术

Techniques of popliteal nerve regional anesthesia.

作者信息

Creech Corine, Meyr Andrew J

机构信息

Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, Pennsylvania, USA.

出版信息

J Foot Ankle Surg. 2013 Sep-Oct;52(5):681-5. doi: 10.1053/j.jfas.2013.03.021. Epub 2013 Jun 14.

DOI:10.1053/j.jfas.2013.03.021
PMID:23770190
Abstract

Regional anesthesia for blockade of the sciatic nerve in the popliteal fossa is a useful adjunct to pain management in the perioperative setting for foot and ankle surgeons. The present tip aimed to provide a review of the relevant anatomy and technique for popliteal nerve block from the posterior and lateral approaches and to provide discussion and images of the use of peripheral nerve stimulation and ultrasound guidance as adjuvant methods to improve efficacy and reproducibility.

摘要

腘窝坐骨神经阻滞的区域麻醉是足踝外科围手术期疼痛管理的一种有用辅助手段。本提示旨在回顾从后侧和外侧入路进行腘窝神经阻滞的相关解剖结构和技术，并讨论和展示使用外周神经刺激和超声引导作为辅助方法以提高疗效和可重复性的情况。

相似文献

1
Techniques of popliteal nerve regional anesthesia.腘神经区域麻醉技术
J Foot Ankle Surg. 2013 Sep-Oct;52(5):681-5. doi: 10.1053/j.jfas.2013.03.021. Epub 2013 Jun 14.
2
Ultrasound guidance improves the success of sciatic nerve block at the popliteal fossa.超声引导可提高腘窝坐骨神经阻滞的成功率。
Reg Anesth Pain Med. 2008 May-Jun;33(3):259-65. doi: 10.1016/j.rapm.2007.10.010.
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A randomized clinical trial comparing the effectiveness of ultrasound guidance versus nerve stimulation for lateral popliteal-sciatic nerve blocks in obese patients.一项比较超声引导与神经刺激用于肥胖患者腘窝坐骨神经阻滞效果的随机临床试验。
J Ultrasound Med. 2014 Jun;33(6):1057-63. doi: 10.7863/ultra.33.6.1057.
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Ultrasound-guided popliteal sciatic nerve blockade in the severely and morbidly obese: a prospective and randomized study.严重和病态肥胖患者的超声引导下腘部坐骨神经阻滞：一项前瞻性随机研究。
J Anesth. 2016 Jun;30(3):397-404. doi: 10.1007/s00540-016-2143-z. Epub 2016 Feb 9.
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Ultrasound guidance for sciatic nerve block at the popliteal fossa should be compared with the best motor response and the lowest current clinically used in neurostimulation technique.腘窝坐骨神经阻滞的超声引导应与神经刺激技术中临床上使用的最佳运动反应和最低电流进行比较。
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Location of the sciatic nerve at the popliteal fossa in the adult population: Relationship with gender and anthropometric data studied. Implications for daily practice.成年人群中坐骨神经在腘窝处的位置：与性别和人体测量数据的关系研究。对日常实践的启示。
Rev Esp Anestesiol Reanim. 2015 Dec;62(10):565-9. doi: 10.1016/j.redar.2015.02.012. Epub 2015 Apr 17.
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[Ultrasound-guided sciatic nerve block].[超声引导下坐骨神经阻滞]
Masui. 2008 May;57(5):580-7.
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Ultrasound guidance for difficult lateral popliteal catheter insertion in a patient with peripheral vascular disease.外周血管疾病患者腘外侧导管插入困难时的超声引导
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Anatomical basis for sciatic nerve block at the knee level.膝关节水平坐骨神经阻滞的解剖学基础。
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Intraneural injection during nerve stimulator-guided sciatic nerve block at the popliteal fossa.腘窝处神经刺激器引导坐骨神经阻滞时的神经内注射。
Br J Anaesth. 2009 Jun;102(6):855-61. doi: 10.1093/bja/aep097. Epub 2009 May 6.

引用本文的文献

1
Lower Extremity Near-infrared Spectroscopy After Popliteal Block For Orthopaedic Foot Surgery.腘窝阻滞用于骨科足部手术后的下肢近红外光谱分析
Open Orthop J. 2016 Jul 20;10:258-63. doi: 10.2174/1874325001610010258. eCollection 2016.
2
Popliteal Sciatic Nerve Block in a Pregnant Patient in the Last Trimester.孕晚期孕妇的腘部坐骨神经阻滞
Turk J Anaesthesiol Reanim. 2015 Aug;43(4):279-81. doi: 10.5152/TJAR.2014.87699. Epub 2014 Oct 23.