Coleman Alexander C
Andrews Institute for Orthopaedics & Sports Medicine, 1040 Gulf Breeze Pky, #200, Gulf Breeze, FL 32561, USA.
Orthop Clin North Am. 2017 Oct;48(4):487-494. doi: 10.1016/j.ocl.2017.06.009.
Upper extremity surgeons are currently faced with a daunting array of anesthesia techniques, ranging from traditional general anesthesia to wide-awake surgery, during which patients can watch their surgeons operate in the morning and return to work as soon as that afternoon. This range of options means that surgeons must consider patient-related factors such as disease process and relevant comorbidities, as well as surgery-related factors such as anatomic location, complexity, length of procedure, and postoperative pain expectations. In general, the least invasive technique is favored, but each patient must be considered individually to ensure the best anesthesia choice.
上肢外科医生目前面临着一系列令人生畏的麻醉技术，从传统的全身麻醉到清醒手术，在清醒手术过程中，患者可以在上午看着外科医生进行手术，并且当天下午就能回去工作。如此多样的选择意味着外科医生必须考虑与患者相关的因素，如疾病进程和相关的合并症，以及与手术相关的因素，如解剖位置、复杂性、手术时长和术后疼痛预期。一般来说，最微创的技术是首选，但必须对每个患者进行单独考量，以确保做出最佳的麻醉选择。
