Ilias W, Fitzal S, Mutz N, Scherzer W, Tonczar L
Anaesthesist. 1981 Oct;30(10):68-9.
We describe a new method of axillary brachial plexus block, the principle of which is to verify the position of the needle in the perivascular tissue not by paraesthesia but by the "loss of resistance" measured when penetrating the perivascular sheath. This method has been developed from the well known "loss of resistance" technique used in epidural anaesthesia and has been tested in practice as well as in theory. This technique not only guarantees greater accuracy in locating the perivascular tissue, but also opens the possibility of decreasing the incidence of lesions of nerves and vessels.
我们描述了一种新的腋路臂丛神经阻滞方法,其原理是通过穿刺血管周围鞘时测量的“阻力消失”来确定针在血管周围组织中的位置,而不是通过异感。该方法是在硬膜外麻醉中使用的著名“阻力消失”技术的基础上发展而来的,并已在实践和理论上进行了测试。该技术不仅能保证在定位血管周围组织时具有更高的准确性,还为降低神经和血管损伤的发生率提供了可能性。