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肌间沟阻滞术后发生全脊髓麻醉。

Total spinal anesthesia after an interscalene block.

作者信息

Iocolano C F

机构信息

Beth Israel Health Care System, North Division, New York, NY 10128, USA.

出版信息

J Perianesth Nurs. 1997 Jun;12(3):163-8; quiz 169-70. doi: 10.1016/s1089-9472(97)80034-2.

DOI:10.1016/s1089-9472(97)80034-2
PMID:9214940
Abstract

A case study is presented involving a 22-year-old male who developed total spinal anesthesia after interscalene blockade for an arthroscopic procedure of the shoulder. An understanding of the anatomical structures of the brachial plexus, autonomic nervous system function, and side effects of local anesthetics is presented to assist the perianesthetic nurse in assessing and anticipating patient needs and in clinical decision making.

摘要

本文介绍了一个病例研究,该病例为一名22岁男性,在接受肩部关节镜手术的斜角肌间阻滞麻醉后发生了全脊髓麻醉。文中阐述了臂丛神经的解剖结构、自主神经系统功能以及局部麻醉药的副作用,以帮助麻醉护理人员评估和预测患者需求,并进行临床决策。

相似文献

1
Total spinal anesthesia after an interscalene block.肌间沟阻滞术后发生全脊髓麻醉。
J Perianesth Nurs. 1997 Jun;12(3):163-8; quiz 169-70. doi: 10.1016/s1089-9472(97)80034-2.
2
Clinical report: interscalene block for shoulder operations.临床报告:用于肩部手术的肌间沟阻滞
Anaesth Intensive Care. 1979 Feb;7(1):53-5.
3
Brachial plexus anesthesia: an analysis of options.臂丛神经麻醉:选择分析
Yale J Biol Med. 1993 Sep-Oct;66(5):415-31.
4
[The combination of general anesthesia and interscalene block in shoulder surgery].[肩部手术中全身麻醉与肌间沟阻滞的联合应用]
Anaesthesist. 1991 Oct;40(10):537-42.
5
Interscalene brachial plexus block anesthesia for the modified Bristow procedure.用于改良布里斯托手术的肌间沟臂丛神经阻滞麻醉
Am J Sports Med. 1982 Mar-Apr;10(2):79-82. doi: 10.1177/036354658201000203.
6
Total spinal anaesthesia after an attempted brachial plexus block using the posterior approach.采用后路法进行臂丛神经阻滞尝试后发生全脊髓麻醉。
Anaesthesia. 2006 Nov;61(11):1105-8. doi: 10.1111/j.1365-2044.2006.04757.x.
7
The shoulder block: a new alternative to interscalene brachial plexus blockade for the control of postoperative shoulder pain.肩胛上神经阻滞:一种用于控制术后肩部疼痛的新型替代肌间沟臂丛神经阻滞的方法。
Anaesth Intensive Care. 2007 Aug;35(4):575-81. doi: 10.1177/0310057X0703500418.
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[Intrathecal misplacement of an interscalene plexus catheter].[肌间沟神经丛导管鞘内误置]
Anaesthesist. 2005 Mar;54(3):215-9. doi: 10.1007/s00101-004-0792-z.
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The minimum effective anesthetic volume of 0.75% ropivacaine in ultrasound-guided interscalene brachial plexus block.超声引导下肌间沟臂丛神经阻滞中 0.75%罗哌卡因的最小有效麻醉容量。
Anesth Analg. 2011 Oct;113(4):951-5. doi: 10.1213/ANE.0b013e31822b876f. Epub 2011 Aug 4.
10
A single preoperative dose of gabapentin (800 milligrams) does not augment postoperative analgesia in patients given interscalene brachial plexus blocks for arthroscopic shoulder surgery.对于接受关节镜肩部手术并采用肌间沟臂丛神经阻滞的患者,术前单次服用加巴喷丁(800毫克)并不能增强术后镇痛效果。
Anesth Analg. 2006 Nov;103(5):1278-82. doi: 10.1213/01.ane.0000237300.78508.f1.

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Paravertebral brachial plexus block in sheep: a cadaveric and study.绵羊的椎旁臂丛神经阻滞:尸体研究
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