Zetlaoui P J
Département d'Anesthésie-Réanimation, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Cah Anesthesiol. 1993;41(6):666-72.
Blocking the median, the radial, the ulnar and the musculo-cutaneous nerves, alone or all together provide sufficient anaesthesia for hand and forearm surgery. Because of frequent anatomical variations and the possibility of a double nerve supply in some territories, blockade must be extended to the adjacent nerves. Tourniquet over the elbow is the only limit for these blocks, but they are useful to provide per and postoperative analgesia during general anaesthesia, and in some cases to improve the efficiency of brachial plexus block.
单独或同时阻滞正中神经、桡神经、尺神经和肌皮神经，可为手部和前臂手术提供足够的麻醉效果。由于存在频繁的解剖变异以及某些区域可能有双重神经支配，阻滞范围必须扩展至相邻神经。肘部上方的止血带是这些阻滞的唯一限制因素，但它们有助于在全身麻醉期间提供围手术期和术后镇痛，并且在某些情况下可提高臂丛神经阻滞的效果。
