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[日间手术中膝关节手术采用神经电刺激器(ENS)进行坐骨神经和股神经阻滞]

[Sciatic and femoral nerve block with electro-neural stimulator (ENS) in surgery of the knee in day-care surgery].

作者信息

Cornaggia G, Capucci R, Bassani L, Stella L, Sansone V, Gobbi A

机构信息

Dipartimento di Scienze Neuropsichiche, Istituto Scientifico H S. Raffaele, Milano.

出版信息

Minerva Anestesiol. 1994 Mar;60(3):129-33.

PMID:8090303
Abstract

This study was designed to evaluate locoregional anesthesia (double block of sciatic and femoral nerves with ENS) for ambulatory knee arthroscopic surgery. A statistical evaluation was performed in 50 adult outpatients (41 males, 9 females, ASA class 1 or 2) undergoing ambulatory knee arthroscopic procedures. Basal and intraoperative BP, HR SaO2 were recorded and the intensity of analgesia was also assessed according to the patient's subjective evaluation. Extra sedative or analgesic requirements were also recorded. There were no statistical changes in hemodynamic parameters during the perioperative period. The effectiveness of the anaesthetic block was classified as very good in 84% of patients, good in 2%, sufficient in 6% and inadequate in 8%. All patients were discharged in four hours after surgery. Our study shows that in ambulatory arthroscopic surgery, sciatic and femoral block with ENS is a valuable alternative to general anaesthesia.

摘要

本研究旨在评估用于门诊膝关节镜手术的局部区域麻醉(坐骨神经和股神经双重阻滞联合依替卡因)。对50例接受门诊膝关节镜手术的成年门诊患者(41例男性,9例女性,ASA分级为1或2级)进行了统计学评估。记录基础血压、术中血压、心率和血氧饱和度,并根据患者的主观评估对镇痛强度进行评估。还记录了额外的镇静或镇痛需求。围手术期血流动力学参数无统计学变化。84%的患者麻醉阻滞效果被评为非常好,2%为好,6%为足够,8%为不足。所有患者术后4小时出院。我们的研究表明,在门诊关节镜手术中,坐骨神经和股神经联合依替卡因阻滞是全身麻醉的一种有价值的替代方法。

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