Department of Anesthesia, Dalhousie University, Halifax, Nova Scotia, Canada.
Curr Opin Anaesthesiol. 2013 Aug;26(4):501-8. doi: 10.1097/ACO.0b013e328362d08a.
Currently, no standards exist with regard to the techniques and administration of ultrasound-guided peripheral nerve blocks. Consequently, the techniques and teaching substantially vary among practitioners and institutions. The purpose of this review is to propose a set of standard US-guided techniques for upper extremity nerve blocks.
On the basis of the synthesis of information in available literature and the consensus of an internationally recognized collaborative panel of regional anaesthesia experts, the review recommends a standardized approach to common upper extremity nerve blocks using ultrasound guidance.
A set of structured recommendations and approaches are suggested to help standardize clinical practice and teaching of ultrasound-guided upper extremity nerve blocks. Additional emphasis is placed on the discussion of nerve blocks in outpatient surgery.
目前,超声引导下外周神经阻滞的技术和管理尚缺乏标准。因此,技术和教学在从业者和机构之间存在很大差异。本文的目的是提出一套上肢神经阻滞的超声引导标准技术。
根据现有文献信息的综合和一个国际公认的区域麻醉专家协作小组的共识,本文综述推荐了一种使用超声引导进行常见上肢神经阻滞的标准化方法。
提出了一系列结构化的建议和方法,以帮助规范超声引导上肢神经阻滞的临床实践和教学。此外,还重点讨论了门诊手术中的神经阻滞。