骨科创伤手术后的结果——麻醉选择的作用是什么？
Outcomes After Orthopedic Trauma Surgery - What is the Role of the Anesthesia Choice?
机构信息
Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02143, USA.
Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Muellner Hauptstrasse 48, Salzburg 5020, Austria.
出版信息
Anesthesiol Clin. 2022 Sep;40(3):433-444. doi: 10.1016/j.anclin.2022.04.001. Epub 2022 Jul 12.
The body of literature concerning the influence of anesthetic type on many perioperative outcomes has grown considerably in recent years. Most studies have suggested that particularly in orthopedic patients, regional anesthesia may be associated with improved perioperative outcomes. Orthopedic trauma presents itself as a field that might benefit from increased utilization of regional techniques with the goal to improve outcomes. This narrative review concludes that, indeed, regional anesthesia seems to provide benefits for morbidity, pain control, and improved return to function in hip fracture, rib fracture, and isolated extremity fracture patients.
近年来，关于麻醉类型对许多围手术期结局影响的文献数量显著增加。大多数研究表明，特别是在骨科患者中，区域麻醉可能与改善围手术期结局相关。骨科创伤表现为一个可能受益于增加区域技术应用的领域，其目标是改善结局。这篇综述性文章的结论是，事实上，区域麻醉似乎为髋部骨折、肋骨骨折和孤立肢体骨折患者的发病率、疼痛控制和功能恢复提供了益处。
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