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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.

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/9244/9438842/952f32582407/JOACP-38-125-g001.jpg

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