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锁骨手术中的区域麻醉

Regional Anaesthesia in Clavicle Surgery.

作者信息

Shrestha B R, Sharma P

机构信息

Department of Anaesthesiology and Intensive Care, Kathmandu Medical College, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2017 Apr-Jun;56(206):265-267.

Abstract

In routine practice, regional anaesthesia is less commonly used for clavicular fracture compared to general anaesthesia. We report two cases of clavicle fracture for which operative treatment was done under combined superficial cervical plexus and interscalene brachial plexus block. In both the cases combination of ropivacaine and dexmeditomidine was used for block. Both the patients exhibited comfort and there was no additional analgesic demand in both the cases. Thus combination of interscalene and superficial cervical plexus block can prove to be useful in patients with clavicle fracture where administration of general anaesthesia and its adverse effects could be avoided.

摘要

在常规临床实践中,与全身麻醉相比,锁骨骨折较少使用区域麻醉。我们报告两例锁骨骨折病例,其手术治疗是在颈浅丛和肌间沟臂丛神经联合阻滞下进行的。两例均使用罗哌卡因和右美托咪定联合进行阻滞。两名患者均感觉舒适,且两例均无额外的镇痛需求。因此,对于锁骨骨折患者,肌间沟和颈浅丛联合阻滞可避免全身麻醉及其不良反应,证明是有用的。

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