Tezval Mohammad, Spering Christopher
Klinik für Unfallchirurgie, Sporttraumatologie und Handchirurgie, Dorstener Str. 151, 45657, Recklinghausen, Deutschland.
Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Oper Orthop Traumatol. 2020 Feb;32(1):13-17. doi: 10.1007/s00064-019-00627-w. Epub 2019 Aug 29.
Intravenous regional anesthesia.
Short duration hand operations.
Open wounds, lengthy operations, local infections, polyneuropathy, Raynaud syndrome, allergy to local anesthetics.
Insertion of an intravenous cannula, attachment of a double lumen cuff, Esmarch's tourniquet, injection of the local anesthetic, stepwise pumping up the tourniquet, surgery, stepwise removal of the tourniquet.
Postoperative monitoring of the patient after the end of anesthesia.
Over a time period of 2 years (January 2017-December 2018) 90 operations of the hand were carried out with the patient under intravenous regional anesthesia (IVRA). The average age of the patients was 61 years. After surgery the patients were questioned according to the criteria of the quality of recovery‑9 score according to Myles in the German version of Eberhard et al. (2002). The tourniquet could be removed on average 29 min after surgery. No intraoperative or postoperative complications occurred. Therefore, the IVRA represents a reliable and simple form of anesthesia especially for surgery of the hand.
静脉区域麻醉。
短时间手部手术。
开放性伤口、长时间手术、局部感染、多发性神经病、雷诺综合征、对局部麻醉药过敏。
插入静脉套管，连接双腔袖带，使用埃斯马赫驱血带，注射局部麻醉药，逐步给驱血带充气，手术，逐步松开驱血带。
麻醉结束后对患者进行术后监测。
在2年时间内（2017年1月至2018年12月），90例手部手术在患者接受静脉区域麻醉（IVRA）的情况下进行。患者的平均年龄为61岁。术后根据迈尔斯的恢复质量-9评分标准对患者进行询问，采用埃伯哈德等人（2002年）德文版的标准。术后平均29分钟可松开驱血带。未发生术中或术后并发症。因此，静脉区域麻醉是一种可靠且简单的麻醉方式，尤其适用于手部手术。
