Kuflik P, Ankolekar A, Stuchin S A, Steinbach S, Bernstein R
J Hand Surg Am. 1986 Mar;11(2):246-8. doi: 10.1016/s0363-5023(86)80062-4.
Use of the interscalene brachial plexus block for upper extremity anesthesia in a primarily rheumatoid population is reviewed in 88 cases. The interscalene approach described by Winnie was used. Anesthesia was effective in 93% of the cases. Failure to achieve anesthesia was more likely to occur in surgical procedures on the distal upper extremities. The technique allowed effective and reliable anesthesia throughout the upper extremity, including the shoulder. Problems associated with other forms of upper extremity regional anesthesia, such as tourniquet pain, pneumothorax, systemic anesthetic toxicity, and inadequate duration of anesthesia, were not encountered. Difficulties with more distally based block administration due to decreased shoulder motion were obviated.
回顾了88例主要为类风湿性关节炎患者使用肌间沟臂丛神经阻滞进行上肢麻醉的情况。采用了Winnie描述的肌间沟入路。93%的病例麻醉有效。在远端上肢手术中更有可能出现麻醉失败。该技术可在上肢包括肩部实现有效且可靠的麻醉。未遇到与其他形式上肢区域麻醉相关的问题，如止血带疼痛、气胸、全身麻醉药毒性和麻醉持续时间不足。避免了因肩部活动减少导致更远端阻滞给药困难的问题。
