Fletcher D
Département d'Anesthésie-Réanimation, Hôpital Bicêtre, Le Kremlin-Bicêtre.
Cah Anesthesiol. 1996;44(3):253-9.
This review of postoperative analgesia after knee surgery provides a practical approach to the problem. The patient can be hospitalized or undergo day surgery, with different techniques being available for each situation. For day surgery, the intra-articular administration of local anaesthetic and/or opioids, the non-steroidal anti-inflammatory drugs can be used. During hospitalization patient controlled analgesia, epidural analgesia and peripheral nerve blocks as lumbar plexus, femoral or sciatic nerve block can be proposed. It must be emphasized that a combined approach using these different techniques may be useful in order to offer better analgesia and avoid some side effects. Each technique is described with advantages, side effects and practical usage its. The choice, in each professional environment, must be the best analgesic technique which can be performed safely.
这篇关于膝关节手术后镇痛的综述为该问题提供了一种实用的方法。患者可以住院或接受日间手术,每种情况都有不同的技术可供选择。对于日间手术,可采用关节腔内注射局部麻醉剂和/或阿片类药物,也可使用非甾体抗炎药。住院期间,可采用患者自控镇痛、硬膜外镇痛以及外周神经阻滞,如腰丛、股神经或坐骨神经阻滞。必须强调的是,联合使用这些不同技术可能有助于提供更好的镇痛效果并避免一些副作用。文中描述了每种技术的优点、副作用及实际应用方法。在每个专业环境中,选择必须是能够安全实施的最佳镇痛技术。