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优化门诊肩部手术:麻醉选择综述

Optimizing Outpatient Shoulder Surgery: A Review of Anesthetic Options.

作者信息

Fisher Brandon, Martusiewicz Alexander, Wiater Brett, Wiater J Michael

机构信息

From the Department of Orthopaedic Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI.

出版信息

J Am Acad Orthop Surg. 2025 Jan 1;33(1):e1-e10. doi: 10.5435/JAAOS-D-24-00156. Epub 2024 Aug 16.

Abstract

With the recent trends toward outpatient shoulder surgery, standardized protocols for perioperative analgesia are critical for reducing length of stay and optimizing outcomes. There are a variety of described anesthetic and analgesic options for shoulder surgery, and the literature is variable regarding optimal choice as patient, provider, and institutional factors often play a role. With general anesthesia alone becoming less utilized, regional methods require critical examination. Knowledge of the differing, and novel, regional anesthetic procedures in conjunction with recent orthopaedic and anesthetic literature is imperative to providing patients with optimal and efficient care.

摘要

随着近期门诊肩部手术的趋势,围手术期镇痛的标准化方案对于缩短住院时间和优化治疗效果至关重要。肩部手术有多种已描述的麻醉和镇痛选择,由于患者、医疗服务提供者和机构因素往往起作用,关于最佳选择的文献存在差异。随着单纯全身麻醉的使用越来越少,区域麻醉方法需要进行严格审查。了解不同的新型区域麻醉程序以及近期的骨科和麻醉文献对于为患者提供最佳和高效的护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2622/11630655/266c00345a2e/jaaos-33-e1-g001.jpg

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