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小动物临床中的硬膜外麻醉与镇痛:最新进展

Epidural anesthesia and analgesia in small animal practice: An update.

作者信息

Garcia-Pereira F

机构信息

Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL, 32610 USA.

出版信息

Vet J. 2018 Dec;242:24-32. doi: 10.1016/j.tvjl.2018.09.007. Epub 2018 Sep 11.

Abstract

Epidural anesthesia is a commonly performed technique in both human and veterinary medicine. The technique is relatively simple following appropriate training and provides anesthesia and analgesia for acute and chronic pain. Several drug combinations have been administered by this route with variable success and duration. Multiple techniques to guide or confirm correct epidural needle placement are discussed in this article, as well as anatomical features of the epidural space, effect of drug volume and concentration, and adverse effects of the technique in small animal practice. This article is not an exhaustive review of the literature, but an update of some new findings over the last decade.

摘要

硬膜外麻醉是人类医学和兽医学中常用的一种技术。经过适当培训后,该技术相对简单,并可为急慢性疼痛提供麻醉和镇痛效果。通过该途径已使用了几种药物组合,其成功率和持续时间各不相同。本文讨论了多种引导或确认硬膜外穿刺针正确放置的技术,以及硬膜外腔的解剖特征、药物容量和浓度的影响,以及该技术在小动物临床实践中的不良反应。本文并非对文献的详尽综述,而是对过去十年中一些新发现的更新。

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