Vannier J L, Carré M C, Berger J L, Badelon O, Desmonts J M
Ann Fr Anesth Reanim. 1986;5(5):479-82. doi: 10.1016/s0750-7658(86)80032-6.
This study included 35 children (average age: 8 years) undergoing surgery of the upper limb under brachial plexus block. The brachial plexus was approached by the brachial canal route, which is a simple, rapid and efficient way (34 were successful). The main advantage of this technique was the avoidance, in most children, of general anaesthesia as a complement. In addition, postoperative analgesia was satisfactory in all cases. In spite of large doses and volumes of lidocaine and bupivacaine used with this technique, no complication was observed.
本研究纳入了35例接受臂丛神经阻滞下上肢手术的儿童(平均年龄:8岁)。采用臂丛管入路法进行臂丛神经阻滞,该方法简单、快速且有效(34例成功)。这项技术的主要优点是在大多数儿童中避免了作为补充的全身麻醉。此外,所有病例术后镇痛效果均令人满意。尽管使用该技术时利多卡因和布比卡因的剂量和用量较大,但未观察到并发症。