Anapolle D M, Badach M, McInerney V K, Umanoff M, Ghobadi F
Department of Orthopedic Surgery, Seton Hall University School of Graduate Medical Education, Paterson, New Jersey.
Orthop Rev. 1994 May;23(5):449-52.
Regional nerve block anesthesia has been less commonly used and less successful in surgery on the lower extremity than on the upper extremity because of anatomic difficulties associated with lower-extremity nerve blockade. The authors have developed a technique that combines two peripheral nerve blocks with a nerve stimulator. This has provided sufficient anesthesia for the performance of arthroscopic surgery on the knee. It simplifies earlier techniques by decreasing the discomfort associated with the procedure and increasing its accuracy. The technique has also facilitated rapid patient discharge from the same-day unit. No significant complications have been encountered.
由于下肢神经阻滞存在解剖学上的困难，区域神经阻滞麻醉在下肢手术中的应用不如在上肢手术中常见，成功率也较低。作者开发了一种将两种周围神经阻滞与神经刺激器相结合的技术。这为膝关节关节镜手术提供了足够的麻醉。它通过减少与该手术相关的不适并提高其准确性，简化了早期技术。该技术还促进了患者从同日病房的快速出院。未遇到重大并发症。
