Mahiou P
Département d'Anesthésie-Réanimation, Clinique Sainte-Croix, Le Mans.
Cah Anesthesiol. 1995;43(6):617-24.
Regional anaesthesia in the setting of pre-hospital trauma care implies adverse conditions. Therefore some practical advices may be useful; avoid spinal or epidural anaesthesia, prefer safer lidocaine. Aspiration test, test dose and slow injection are mandatory; so is a large experience in regional anaesthesia. Main usable blocks are: brachial plexus block (axillary or interscalenic approach), radial, medial and ulnar nerve blocks, intercostal and interpleural nerve blocks, sciatic and femoral nerve blocks, superior laryngeal nerve block. Using a nerve stimulator is strongly advised in most cases.
院前创伤护理中的区域麻醉意味着存在不利情况。因此，一些实用建议可能会有所帮助；避免使用脊髓或硬膜外麻醉，优先选择更安全的利多卡因。必须进行回抽试验、试验剂量和缓慢注射；丰富的区域麻醉经验也很重要。主要可用的阻滞方法有：臂丛神经阻滞（腋路或肌间沟入路）、桡神经、正中神经和尺神经阻滞、肋间和胸膜间神经阻滞、坐骨神经和股神经阻滞、喉上神经阻滞。在大多数情况下，强烈建议使用神经刺激器。
