Rousso M, Wexler M R, Weinberg H, Vatashky E, Aronson B
Hand. 1978 Oct;10(3):317-20. doi: 10.1016/s0072-968x(78)80059-x.
A simple method for achieving satisfactory regional anaesthesia for a wide range of hand surgery is presented. It entails separate attention to the two aims of regional anaesthesia, namely analgesia of the tourniquet and of the operative site. This study of 149 patients indicated that (a) subcutaneous ring anaesthesia produced excellent tourniquet analgesia, both in the forearm as well as the upper arm; (b) a tourniquet applied to the forearm provided excellent regional ischaemia in 98% of our cases, contrary to what has been previously accepted. The advantages of this method are its safety and simplicity even for the relatively untrained surgeon. It also obviates the need for brachial plexus blocks, intravenous regional or general anaesthesia with all their drawbacks.
本文介绍了一种为广泛的手部手术实现满意区域麻醉的简单方法。它需要分别关注区域麻醉的两个目标，即止血带镇痛和手术部位镇痛。这项对149名患者的研究表明：（a）皮下环形麻醉在前臂和上臂均产生了出色的止血带镇痛效果；（b）与先前公认的情况相反，在我们98%的病例中，应用于前臂的止血带提供了出色的区域缺血效果。该方法的优点是即使对于相对未受过训练的外科医生也安全且简单。它还避免了臂丛神经阻滞、静脉区域麻醉或全身麻醉及其所有缺点。
