Stundner Ottokar, Ortmaier Rainhold, Memtsoudis Stavros G
Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Muellner Hauptstrasse 48, Salzburg 5020, Austria.
Department of Trauma Surgery and Sports Traumatology, Paracelsus Medical University, Muellner Hauptstrasse 48, Salzburg 5020, Austria.
Anesthesiol Clin. 2014 Dec;32(4):809-21. doi: 10.1016/j.anclin.2014.08.003. Epub 2014 Nov 25.
An increasing body of evidence supports the benefits of regional anesthesia in orthopedic surgery. Compared with systemic anesthetic and analgesic approaches, these benefits include more focused and sustained pain control, less systemic side effects, improved patient comfort, earlier mobilization and hospital discharge, lower rates of advanced service requirements, and lower perioperative morbidity and mortality. However, there is discussion about the various outcomes as judged by patients and heath care practitioners. This article recapitulates the literature and presents an overview of endpoints.
越来越多的证据支持区域麻醉在骨科手术中的益处。与全身麻醉和镇痛方法相比，这些益处包括更有针对性和持续的疼痛控制、更少的全身副作用、提高患者舒适度、更早的活动能力和出院时间、更低的高级服务需求率以及更低的围手术期发病率和死亡率。然而，患者和医护人员对各种结果存在不同看法。本文总结了相关文献并概述了研究终点。
