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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
ACOG Committee Opinion No. 474: nonobstetric surgery during pregnancy.美国妇产科医师学会委员会意见 No.474：孕期非产科手术。
Obstet Gynecol. 2011 Feb;117(2 Pt 1):420-421. doi: 10.1097/AOG.0b013e31820eede9.
3
Anesthesia in pregnant patients for nonobstetric surgery.非产科手术中孕妇的麻醉。
J Clin Anesth. 2006 Feb;18(1):60-6. doi: 10.1016/j.jclinane.2004.11.009.
4
Nonobstetric surgery in the parturient: anesthetic considerations.产妇的非产科手术：麻醉相关考量
J Clin Anesth. 2006 Feb;18(1):5-7. doi: 10.1016/j.jclinane.2005.11.003.
5
What is the minimum effective volume of local anesthetic required for sciatic nerve blockade? A prospective, randomized comparison between a popliteal and a subgluteal approach.坐骨神经阻滞所需局部麻醉药的最小有效容量是多少？腘窝入路与臀下入路的前瞻性随机对照研究。
Anesth Analg. 2006 Feb;102(2):593-7. doi: 10.1213/01.ane.0000189188.08679.2a.
6
Effects on the fetus and newborn of maternal analgesia and anesthesia: a review.母体镇痛与麻醉对胎儿及新生儿的影响：综述
Can J Anaesth. 2004 Jun-Jul;51(6):586-609. doi: 10.1007/BF03018403.
7
The management of nonobstetric pains in pregnancy.孕期非产科疼痛的管理
Reg Anesth Pain Med. 2003 Jan-Feb;28(1):54-7. doi: 10.1053/rapm.2003.50006.
8
A comparison of intertendinous and classical approaches to popliteal nerve block using magnetic resonance imaging simulation.使用磁共振成像模拟对腘窝神经阻滞的腱间和经典方法进行比较。
Anesth Analg. 2002 May;94(5):1321-4, table of contents. doi: 10.1097/00000539-200205000-00051.
9
Management of anesthesia for the pregnant surgical patient.妊娠手术患者的麻醉管理。
Anesthesiology. 1999 Oct;91(4):1159-63. doi: 10.1097/00000542-199910000-00033.
10
Surgery during pregnancy and fetal outcome.孕期手术与胎儿结局
Am J Obstet Gynecol. 1980 Dec 15;138(8):1165-7. doi: 10.1016/s0002-9378(16)32785-5.

孕晚期孕妇的腘部坐骨神经阻滞

Popliteal Sciatic Nerve Block in a Pregnant Patient in the Last Trimester.

作者信息

Güngör İrfan, Tezer Tolga, Polat Gülşah Gülsi, Esen Erdinç, Günaydın Berrin, Kaya Kadir

机构信息

Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.

Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2015 Aug;43(4):279-81. doi: 10.5152/TJAR.2014.87699. Epub 2014 Oct 23.

DOI:10.5152/TJAR.2014.87699
PMID:27366511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4917142/
Abstract

Although regional anaesthesia is a commonly preferred anaesthesia technique for pregnant patients undergoing non-obstetric surgery, peripheral nerve blocks are relatively less administered. The use of popliteal sciatic nerve block for foot-ankle surgery has been presented for a nulliparous parturient at 32 weeks of gestation scheduled to undergo surgical exploration of an arterial pseudoaneurysm on her right plantar surface due to a penetrating stab injury. Since surgery did not require pneumatic tourniquet, the sciatic nerve was blocked via the popliteal approach with a single shot injection of 30 mL of 0.375% levobupivacaine. The operation and the anaesthesia course were uneventful. In conclusion, popliteal sciatic nerve block was successful and uneventful for a short foot surgery not requiring tourniquet application in a parturient in the last trimester.

摘要

尽管区域麻醉是接受非产科手术的孕妇常用的首选麻醉技术，但周围神经阻滞的应用相对较少。本文介绍了一例妊娠32周的初产妇，因右足底穿透性刺伤导致动脉假性动脉瘤，计划接受手术探查，在足踝手术中使用腘窝坐骨神经阻滞。由于手术不需要使用气压止血带，通过腘窝入路单次注射30 mL 0.375%左旋布比卡因对坐骨神经进行阻滞。手术和麻醉过程顺利。总之，对于妊娠晚期不需要使用止血带的短时间足部手术，腘窝坐骨神经阻滞是成功且顺利的。