Ardon Alberto E, Prasad Arun, McClain Robert Lewis, Melton M Stephen, Nielsen Karen C, Greengrass Roy
Department of Anesthesiology, University of Florida Jacksonville, 655 West 8th Street, Jacksonville, FL 32209, USA.
Department of Anesthesiology, University of Toronto, Women's College Hospital, Mc L 2-405, 399, Bathurst Street, Toronto, Ontario M5T 2S8, Canada.
Anesthesiol Clin. 2019 Jun;37(2):265-287. doi: 10.1016/j.anclin.2019.01.005. Epub 2019 Mar 15.
Proper pain control is critical for ambulatory surgery. Regional anesthesia can decrease postoperative pain, improve patient satisfaction, and expedite patient discharge. This article discusses the techniques, clinical pearls, and potential pitfalls associated with those blocks, which are most useful in an ambulatory perioperative setting. Interscalene, supraclavicular, infraclavicular, axillary, paravertebral, erector spinae, pectoralis, serratus anterior, transversus abdominis plane, femoral, adductor canal, popliteal, interspace between the popliteal artery and capsule of the knee, and ankle blocks are described.
适当的疼痛控制对于门诊手术至关重要。区域麻醉可减轻术后疼痛,提高患者满意度,并加快患者出院。本文讨论了与这些阻滞相关的技术、临床要点和潜在陷阱,这些阻滞在门诊围手术期环境中最为有用。文中描述了肌间沟、锁骨上、锁骨下、腋路、椎旁、竖脊肌、胸肌、前锯肌、腹横肌平面、股部、收肌管、腘窝、腘动脉与膝关节囊间隙以及踝关节阻滞。