Département Médico Universitaire de Réanimation Anesthésie Médecine Périopératoire, Site Saint Antoine - Tenon, Sorbonne Université -Faculté de Médecine Paris VI, Paris, France.
Curr Opin Anaesthesiol. 2020 Aug;33(4):561-565. doi: 10.1097/ACO.0000000000000897.
General anesthesia and monitored anesthesia care (MAC) are the most widely used techniques in nonoperating room anesthesia (NORA). However, regional anesthesia is slowly finding viable applications in this field. This review aims at providing an update on the current practice of regional anesthesia techniques outside of the operating theatre.
Some anesthetic departments have implemented the use of regional anesthesia in novel applications outside of the operating room. In most cases, it remains an adjunct to general anesthesia but is sometimes used as the sole anesthetic technique. The use of the paravertebral block during radiofrequency ablation of different tumors is a recent application in interventional radiology. In emergency medicine, regional anesthesia is gaining traction in analgesia for trauma patients.
Regional anesthesia is finding its way into broader applications every day, offering a range of potential benefits in anesthetic care. Its implementation in NORA is promising and may aid in decreasing patient morbidity. However, great care should be taken in applying the recommended safety precautions for regional anesthesia in any setting.
全身麻醉和监测麻醉护理（MAC）是非手术室麻醉（NORA）中最广泛使用的技术。然而，区域麻醉在该领域正逐渐找到可行的应用。本篇综述旨在提供有关手术室外区域麻醉技术当前应用的最新信息。
一些麻醉科已将区域麻醉应用于手术室外的新领域。在大多数情况下，它仍然是全身麻醉的辅助手段，但有时也单独用作麻醉技术。在介入放射学中，在不同肿瘤的射频消融过程中使用椎旁阻滞是一种新的应用。在急诊医学中，区域麻醉在创伤患者的镇痛方面也越来越受到关注。
区域麻醉每天都在更广泛的应用中找到自己的位置，为麻醉护理提供了一系列潜在的益处。它在 NORA 中的应用具有广阔的前景，并可能有助于降低患者的发病率。然而，在任何情况下应用区域麻醉时都应特别注意遵循推荐的安全预防措施。
