比尔氏阻滞——澳大利亚急诊科的经验
Bier's block--the experience of Australian emergency departments.
作者信息
Lowen R, Taylor J
机构信息
Emergency Department, Heidelberg Repatriation Hospital.
出版信息
Med J Aust. 1994 Feb 7;160(3):108-11.
OBJECTIVE
To describe the current use, effectiveness and safety of Bier's block within Australian emergency departments.
DESIGN
A review of clinical practice based on an opinion survey of directors of emergency departments.
PARTICIPANTS
Directors of 120 private and public hospital emergency departments.
RESULTS
A response rate of 97% was achieved. Bier's block was used in 67% of Australian emergency departments. Emergency department medical staff performed the procedure in 83% of these hospitals. It was estimated that 7500 emergency department Bier's blocks were performed each year. Ninety-six per cent of respondents found Bier's block to produce adequate regional anaesthesia. Reported complications or adverse reactions were extremely rare. A wide variation in procedural approach was evident.
CONCLUSIONS
Bier's block is a popular, reliable and relatively safe anaesthetic technique for use in emergency departments. Increased surveillance of local anaesthetic morbidity associated with the technique, as well as a standardisation of the procedure in the emergency department setting, are required.
目的
描述澳大利亚急诊科静脉局部麻醉的当前使用情况、有效性和安全性。
设计
基于对急诊科主任的意见调查进行临床实践回顾。
参与者
120家私立和公立医院急诊科的主任。
结果
回复率为97%。67%的澳大利亚急诊科使用静脉局部麻醉。在这些医院中，83%由急诊科医务人员实施该操作。据估计，每年急诊科实施7500例静脉局部麻醉。96%的受访者认为静脉局部麻醉能产生足够的区域麻醉效果。报告的并发症或不良反应极为罕见。操作方法存在很大差异。
结论
静脉局部麻醉是急诊科常用、可靠且相对安全的麻醉技术。需要加强对与该技术相关的局部麻醉并发症的监测，并在急诊科环境中实现操作标准化。
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