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在新冠疫情时代，一名患有多种合并症的患者在急诊血管手术中接受小剂量超声引导锁骨上阻滞

Low-volume ultrasound-guided supraclavicular block in a multicomorbid patient for emergency vascular surgery - In COVID-19 era.

作者信息

Lonikar Abhishek V, Diwan Sandeep M, Sancheti Parag K

机构信息

Department of Anaesthesia, Sancheti Institute of Orthopaedics and Trauma, Pune, Maharashtra, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S125-S127. doi: 10.4103/joacp.JOACP_545_20. Epub 2022 Jun 30.

DOI:10.4103/joacp.JOACP_545_20
PMID:36060162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9438842/
Abstract

Supraclavicular block is the most commonly used block in upper limb surgeries, right from the day it was introduced into clinical practice in Germany by Kulenkampff in 1911. The block underwent many changes in its application due to the advent of peripheral nerve stimulator and ultrasonographic application in regional anesthesia. This case report focuses on supraclavicular block's application in a multicomorbid patient, the drug dose required, and how the scope of regional anesthesia can be extended in times of pandemic, like coronavirus disease 2019 (COVID-19), in coming future.

摘要

锁骨上阻滞是上肢手术中最常用的阻滞方法，自1911年库伦坎普夫在德国将其引入临床实践以来一直如此。由于外周神经刺激器的出现以及超声在区域麻醉中的应用，该阻滞方法在应用方面经历了许多变化。本病例报告重点关注锁骨上阻滞在一名患有多种合并症的患者中的应用、所需的药物剂量，以及在未来类似2019冠状病毒病（COVID-19）大流行期间如何扩大区域麻醉的范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9244/9438842/f851acd81bbe/JOACP-38-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9244/9438842/952f32582407/JOACP-38-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9244/9438842/f851acd81bbe/JOACP-38-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9244/9438842/952f32582407/JOACP-38-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9244/9438842/f851acd81bbe/JOACP-38-125-g002.jpg

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本文引用的文献

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Practical considerations for performing brachial plexus blocks in suspected COVID-19 patients.对疑似新型冠状病毒肺炎患者进行臂丛神经阻滞的实际考量
J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S83-S85. doi: 10.4103/joacp.JOACP_249_20. Epub 2020 Jul 24.
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Modified oxygen therapy device for prevention of aerosol dispersion in COVID-19 patients.用于预防新冠病毒肺炎患者气溶胶扩散的改良型氧疗设备
J Clin Anesth. 2020 Oct;65:109884. doi: 10.1016/j.jclinane.2020.109884. Epub 2020 May 19.
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Chest CT for detecting COVID-19: a systematic review and meta-analysis of diagnostic accuracy.
胸部CT用于检测新型冠状病毒肺炎：诊断准确性的系统评价和荟萃分析
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Lateral versus medial needle approach for ultrasound-guided supraclavicular block: a randomized controlled trial.超声引导锁骨上阻滞中外侧进针与内侧进针的随机对照研究。
Reg Anesth Pain Med. 2011 Jul-Aug;36(4):387-92. doi: 10.1097/AAP.0b013e318217ab1f.
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Effect of body mass index on the ED50 volume of bupivacaine 0.5% for supraclavicular brachial plexus block.体重指数对 0.5%布比卡因用于锁骨上臂丛神经阻滞的 ED50 容积的影响。
Br J Anaesth. 2010 Apr;104(4):490-5. doi: 10.1093/bja/aeq017. Epub 2010 Feb 18.
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Upper extremity regional anesthesia: essentials of our current understanding, 2008.上肢区域麻醉：我们当前的认识要点，2008年
Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70. doi: 10.1097/AAP.0b013e31819624eb.
7
Respiratory function and ribcage contribution to ventilation in body positions commonly used during anesthesia.麻醉期间常用体位下的呼吸功能及胸廓对通气的作用。
Anesth Analg. 1991 Oct;73(4):422-6. doi: 10.1213/00000539-199110000-00010.