Neimkin R J, May J W, Roberts J, Sunder N
J Hand Surg Am. 1984 Nov;9(6):830-3. doi: 10.1016/s0363-5023(84)80059-3.
Continuous regional anesthesia through a catheter placed in the axillary sheath has been an effective method of brachial plexus neural blockade. This article confirms this observation and demonstrates that continuous axillary block is useful in replantation surgery to provide anesthesia and analgesia in addition to sympathetic blockade for up to 7 days after operation. This anesthetic technique may allow extensive revascularization or replantation procedures to be performed for patients who could not safely tolerate prolonged application of general anesthesia.
通过置于腋鞘内的导管进行连续区域麻醉一直是臂丛神经阻滞的有效方法。本文证实了这一观察结果,并表明连续腋路阻滞在再植手术中有用,除了提供麻醉和镇痛外,还能在术后长达7天内实现交感神经阻滞。这种麻醉技术可能使广泛的血管重建或再植手术能够为那些不能安全耐受长时间全身麻醉的患者进行。