Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Department of Anesthesiology and Reanimation, Faculty of Medicine, Istanbul University Cerrahpaşa, Instambul, Turkey.
Minerva Anestesiol. 2021 Jan;87(1):85-100. doi: 10.23736/S0375-9393.20.14791-6. Epub 2020 Sep 22.
Regional anesthesia has a very interesting long history, initially preferred over general anesthesia because of safety concerns, then for a period general anesthesia became safer and was preferred. The use of innovative technologies such as ultrasound technology has made the blocks safer and successful by directly visualizing targeted nerves and the location of local anesthetics. With the wide use of ultrasound in the regional anesthesia field success rate of peripheral nerve blocks increased and novel blocks techniques developed. Moreover, new extended-release local anesthetic agents have begun to be promising time-efficient and longer duration of analgesia with a single injection. In this article, we attempt to summarize some of the novel block techniques, pharmacological agents, and new technologies in the field of regional anesthesia.
区域麻醉具有非常有趣的悠久历史,最初因其安全性而优于全身麻醉,后来一段时间全身麻醉变得更安全而受到青睐。创新技术的使用,如超声技术,通过直接可视化目标神经和局部麻醉剂的位置,使阻滞更安全、更成功。随着超声在区域麻醉领域的广泛应用,外周神经阻滞的成功率提高,新的阻滞技术也得到了发展。此外,新型长效局部麻醉剂开始具有令人鼓舞的时效和单次注射更长时间的镇痛作用。本文试图总结区域麻醉领域的一些新型阻滞技术、药理学制剂和新技术。