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用于连续周围神经阻滞的神经周围导管:一篇叙述性综述。

Perineural catheters for continuous peripheral nerve blocks: a narrative review.

作者信息

Yoo Seokha, Kim Hansol, Kim Jin-Tae

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Anesth Pain Med (Seoul). 2025 Jan;20(1):5-13. doi: 10.17085/apm.24192. Epub 2025 Jan 25.

Abstract

Continuous peripheral nerve blocks using perineural catheters are increasingly used because they are the only well-established techniques that can provide prolonged analgesia. Although the novel indications and benefits of each type of continuous peripheral nerve block have been well described in several review articles, there is a lack of recent publications focusing on the use of perineural catheters. Numerous clinical challenges are associated with the use of catheters for pain management. This narrative review discusses the currently available perineural catheter designs, catheter fixation methods, perineural catheter-related complications, and management strategies.

摘要

使用周围神经导管进行连续周围神经阻滞的应用越来越广泛,因为这是唯一已得到充分证实的能够提供长时间镇痛的技术。尽管每种类型的连续周围神经阻滞的新适应症和益处已在多篇综述文章中得到充分描述,但近期缺乏专注于周围神经导管使用的出版物。使用导管进行疼痛管理存在诸多临床挑战。这篇叙述性综述讨论了目前可用的周围神经导管设计、导管固定方法、与周围神经导管相关的并发症以及管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2b/11834894/0478a8241718/apm-24192f1.jpg

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