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区域麻醉、现代技术及相关进展:一篇叙述性综述。

Regional Anaesthesia, Contemporary Techniques, and Associated Advancements: A Narrative Review.

作者信息

Gohad Rutuja, Jain Sudha

机构信息

Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 26;16(7):e65477. doi: 10.7759/cureus.65477. eCollection 2024 Jul.

Abstract

In particular, the application of regional anaesthesia techniques in existing medicine can be characterized as experiencing regular changes in recent decades. It is useful for obtaining accurate and efficient pain management solutions, from the basic spinal and epidural blocks to the novel ultrasound nerve blocks and constant catheter procedures. These advancements do enhance not only the value of the perioperative period but also the patient's rated optimization as enhancing satisfaction, better precision, and the safety of nerve block placement. The use of ultrasound technology makes it even easier to determine the proper positioning of the needle and to monitor nerve block placement. Moreover, the duration and efficiency of regional anaesthesia are being enhanced by state-of-the-art approaches, which come in the form of liposomal bupivacaine, and better recovery plans and protocols, which shorten recovery time and decrease the number of hospital days. As these methods develop further, more improvements in the safety, efficacy, and applicability of regional anaesthesia in contemporary medicine are anticipated through continued research and innovation.

摘要

特别是,区域麻醉技术在现代医学中的应用在近几十年呈现出规律性的变化。从基本的脊髓和硬膜外阻滞到新型的超声神经阻滞以及持续导管操作,它对于获得准确、高效的疼痛管理解决方案很有用。这些进展不仅提升了围手术期的价值,还提高了患者的优化评分,如增强满意度、提高精准度以及神经阻滞置管的安全性。超声技术的使用使得确定针头的正确位置以及监测神经阻滞置管变得更加容易。此外,脂质体布比卡因等先进方法以及更好的恢复计划和方案正在提高区域麻醉的持续时间和效率,这些方案缩短了恢复时间并减少了住院天数。随着这些方法的进一步发展,预计通过持续的研究和创新,区域麻醉在当代医学中的安全性、有效性和适用性将得到更多改善。

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