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犬猫的局部和区域麻醉:特定局部和区域技术的描述(第2部分)

Local and regional anaesthesia in dogs and cats: Descriptions of specific local and regional techniques (Part 2).

作者信息

Grubb Tamara, Lobprise Heidi

机构信息

Washington State University, Pullman, WA, USA.

Main Street Veterinary Hospital, Flower Mound, TX, USA.

出版信息

Vet Med Sci. 2020 May;6(2):218-234. doi: 10.1002/vms3.218. Epub 2020 Jan 21.

Abstract

Pain management in veterinary patients is a crucial component of appropriate patient care. Local anaesthetic drugs used in local and regional blockade can completely block the transmission of nociceptive impulses, decreasing both intra-operative nociception and postoperative pain, while decreasing the potential incidence of adverse effects that can be associated with systemic boluses of drugs. For efficacy and safety, this class of drugs is recommended as part of the analgesic protocol in the majority of surgical procedures and traumatic injuries. Numerous local and regional blocks are proven effective in dogs and cats, thus providing the clinician with ample opportunity to include these blocks in practice. This manuscript, Part 2 of a two-part instalment, focuses on brief descriptions of select commonly used local/regional anaesthesia techniques for dogs and cats that cover a multitude of painful surgeries/injuries and that can be implemented in any practice. In Part 1 of this topic, detailed information on local anaesthetic drugs commonly used in small animal practice was reviewed (Grubb & Lobprise, 2020).

摘要

兽医患者的疼痛管理是适当的患者护理的关键组成部分。用于局部和区域阻滞的局部麻醉药物可以完全阻断伤害性冲动的传递,减少术中伤害感受和术后疼痛,同时降低与全身性大剂量药物相关的不良反应的潜在发生率。为了确保疗效和安全性,在大多数外科手术和创伤性损伤中,这类药物被推荐作为镇痛方案的一部分。许多局部和区域阻滞在犬猫身上已被证明是有效的,从而为临床医生在实践中采用这些阻滞提供了充足的机会。本手稿是两部分系列文章的第2部分,重点简要介绍了一些常用于犬猫的局部/区域麻醉技术,这些技术适用于多种疼痛性手术/损伤,并且可以在任何诊所实施。在本主题的第1部分中,回顾了小动物临床中常用局部麻醉药物的详细信息(Grubb & Lobprise,2020)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9030/7196680/ded4f1b4db36/VMS3-6-218-g001.jpg

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