CHU de Québec - Enfant- Jésus & Saint-Sacrement, 1050 Ch Ste-Foy, Québec, QC, G1S 4L8, Canada.
Department of Anesthesia and Pain Medicine, University of Alberta Hospital, 2-150 Clinical Sciences Building, Edmonton, Alberta T6G 2G3, Canada.
Anesthesiol Clin. 2024 Jun;42(2):203-217. doi: 10.1016/j.anclin.2023.11.006.
Upper extremity injuries are frequent in athletes which may require surgeries. Regional anesthesia for postoperative analgesia is important to aid recovery, and peripheral nerve blocks for surgical anesthesia enable surgeries to be performed without general anesthetics and their associated adverse effects. The relevant nerve block approaches to anesthetize the brachial plexus for elbow, wrist and hand surgeries are discussed in this article. There is very limited margin for error when performing nerve blocks and multimodal monitoring approach to reduce harm are outlined. Lastly, the importance of obtaining informed consent prior to nerve block procedures should not be overlooked.
上肢损伤在运动员中很常见,可能需要手术。术后镇痛的区域麻醉对促进康复很重要,而用于手术麻醉的外周神经阻滞可使手术无需全身麻醉及其相关不良反应即可进行。本文讨论了用于肘部、腕部和手部手术的臂丛神经阻滞的相关神经阻滞方法。进行神经阻滞时的容错空间非常有限,概述了减少伤害的多模式监测方法。最后,在进行神经阻滞程序之前获得知情同意非常重要,不应忽视。