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[周围神经的定位。电神经刺激的成功与安全性]

[Localization of peripheral nerves. Success and safety with electrical nerve stimulation].

作者信息

Neuburger M, Schwemmer U, Volk T, Gogarten W, Kessler P, Steinfeldt T

机构信息

Abteilung für Anästhesie und Intensivmedizin, Ortenau Klinikum Achern, Josef-Wurzler-Str. 7, 77855, Achern, Deutschland,

出版信息

Anaesthesist. 2014 May;63(5):422-8. doi: 10.1007/s00101-014-2312-0.

DOI:10.1007/s00101-014-2312-0
PMID:24715260
Abstract

Peripheral electrical nerve stimulation is one of the standard applications in peripheral regional anesthesia in addition to the ultrasound technique. Among other findings, the visualization of needle and nerve during ultrasound-guided blockade caused a change in clinical practice of peripheral nerve stimulation in the last decade. In the present article old and new aspects of principles and clinical practice of the nerve stimulation technique are presented and summarized in a total clinical concept in order to achieve safe and successful peripheral regional anesthesia using electrical peripheral nerve stimulation.

摘要

除超声技术外,外周神经电刺激是外周区域麻醉的标准应用之一。在过去十年中,除其他发现外,超声引导下阻滞时针和神经的可视化改变了外周神经刺激的临床实践。在本文中,神经刺激技术的原理和临床实践的新旧方面被呈现并总结为一个完整的临床概念,以便使用外周神经电刺激实现安全、成功的外周区域麻醉。

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[Localization of peripheral nerves. Success and safety with electrical nerve stimulation].[周围神经的定位。电神经刺激的成功与安全性]
Anaesthesist. 2014 May;63(5):422-8. doi: 10.1007/s00101-014-2312-0.
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The role of peripheral nerve stimulation in the era of ultrasound-guided regional anaesthesia.外周神经刺激在超声引导区域麻醉时代的作用。
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[Is nerve stimulation still necessary in ultrasound-guided regional anaesthesia].[在超声引导区域麻醉中神经刺激是否仍然必要]
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Nerve stimulation in regional anesthesia: theory and practice.区域麻醉中的神经刺激:理论与实践。
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Nerve localization--seek but not so easy to find?神经定位——寻找却并非那么容易找到?
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[Anesthesia for medical students : A brief guide to practical anesthesia in adults with a web-based video illustration].

本文引用的文献

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High- versus low-stimulation current threshold for axillary plexus blocks: a prospective randomized triple-blinded noninferiority trial in 205 patients.高刺激电流与低刺激电流阈值用于腋路臂丛阻滞:205 例患者前瞻性随机三盲非劣效性试验。
Anesth Analg. 2013 Jan;116(1):247-54. doi: 10.1213/ANE.0b013e31826fffef. Epub 2012 Dec 7.
2
Peripheral nerve stimulation in regional anesthesia.周围神经刺激在区域麻醉中的应用。
Reg Anesth Pain Med. 2012 Jul-Aug;37(4):383-92. doi: 10.1097/AAP.0b013e3182576647.
3
Histological Consequences of Needle-Nerve Contact following Nerve Stimulation in a Pig Model.
《医学生麻醉学:基于网络视频演示的成人实用麻醉简要指南》
Anaesthesist. 2016 Dec;65(12):929-939. doi: 10.1007/s00101-016-0231-y.
猪模型中神经刺激后针-神经接触的组织学后果
Anesthesiol Res Pract. 2011;2011:591851. doi: 10.1155/2011/591851. Epub 2011 Apr 19.
4
Needle to nerve proximity: what do the animal studies tell us?针到神经的接近度:动物研究告诉了我们什么?
Reg Anesth Pain Med. 2011 May-Jun;36(3):290-302. doi: 10.1097/AAP.0b013e318217a9ed.
5
Current-distance relationships for peripheral nerve stimulation localization.外周神经刺激定位的远近关系。
Anesth Analg. 2011 Jan;112(1):236-41. doi: 10.1213/ANE.0b013e3181fca16b. Epub 2010 Oct 21.
6
No change in impedance upon intravascular injection of D5W.静脉内注射 D5W 后阻抗无变化。
Can J Anaesth. 2010 Jun;57(6):559-64. doi: 10.1007/s12630-010-9293-5. Epub 2010 Mar 11.
7
High or low current threshold for nerve stimulation for regional anaesthesia.神经刺激用于区域麻醉的高或低电流阈值。
Acta Anaesthesiol Scand. 2009 Nov;53(10):1275-81. doi: 10.1111/j.1399-6576.2009.02087.x. Epub 2009 Aug 31.
8
Intraneural injection with low-current stimulation during popliteal sciatic nerve block.腘部坐骨神经阻滞期间低电流刺激下的神经内注射
Anesth Analg. 2009 Aug;109(2):673-7. doi: 10.1213/ane.0b013e3181aa2d73.
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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.
10
Extraneural versus intraneural stimulation thresholds during ultrasound-guided supraclavicular block.超声引导下锁骨上阻滞时神经外与神经内刺激阈值
Anesthesiology. 2009 Jun;110(6):1235-43. doi: 10.1097/ALN.0b013e3181a59891.