连续导管技术与单次注射神经阻滞:术后疼痛管理策略的全面综述

Continuous Catheter Techniques Versus Single-Injection Nerve Blocks: A Comprehensive Review of Postoperative Pain Management Strategies.

作者信息

Singhal Akansha, Taksande Karuna

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 Sep 23;16(9):e70040. doi: 10.7759/cureus.70040. eCollection 2024 Sep.

Abstract

Effective postoperative pain management is crucial for optimizing patient recovery and enhancing surgical outcomes. This review compares two prominent regional anesthesia techniques, continuous catheter techniques and single-injection nerve blocks, focusing on their efficacy, safety, and impact on patient outcomes. Single-injection nerve blocks involve administering a one-time anesthetic dose to a specific nerve or plexus, offering immediate but transient pain relief. In contrast, continuous catheter techniques utilize a catheter to deliver a continuous infusion of anesthetic, providing extended analgesia. The review synthesizes current evidence on the effectiveness of each method, highlighting that single-injection blocks are advantageous for their simplicity and rapid onset but may require supplementary pain management for longer procedures. Continuous catheter techniques, while offering prolonged pain relief, carry risks such as infection and catheter displacement. The comparative analysis of these techniques reveals that both have distinct roles in postoperative care, with choice depending on the surgical procedure and patient needs. Patient satisfaction, recovery times, and overall outcomes are critical factors in determining the optimal pain management strategy. Future research should focus on refining these techniques and exploring innovations to improve patient care and pain management outcomes. This review provides insights for clinicians to make informed decisions about postoperative pain management to enhance patient comfort and recovery.

摘要

有效的术后疼痛管理对于优化患者康复和提高手术效果至关重要。本综述比较了两种主要的区域麻醉技术,即连续导管技术和单次注射神经阻滞,重点关注它们的疗效、安全性以及对患者预后的影响。单次注射神经阻滞是向特定神经或神经丛一次性给予麻醉剂量,可立即缓解疼痛,但持续时间短暂。相比之下,连续导管技术利用导管持续输注麻醉剂,提供延长的镇痛效果。该综述综合了关于每种方法有效性的当前证据,强调单次注射阻滞因其操作简单和起效迅速而具有优势,但对于较长手术可能需要辅助疼痛管理。连续导管技术虽然能提供长时间的疼痛缓解,但存在感染和导管移位等风险。对这些技术的比较分析表明,两者在术后护理中都有不同的作用,选择取决于手术程序和患者需求。患者满意度、恢复时间和总体预后是确定最佳疼痛管理策略的关键因素。未来的研究应侧重于改进这些技术并探索创新方法,以改善患者护理和疼痛管理效果。本综述为临床医生在术后疼痛管理方面做出明智决策提供了见解,以提高患者舒适度和促进康复。

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