Karacalar A, Karacalar S, Uçkunkaya N, Sahin S, Ozcan B
Department of Plastic and Reconstructive Surgery, Medical Faculty of Uludağ University, Bursa, Turkey.
J Hand Surg Am. 1998 Nov;23(6):1100-5. doi: 10.1016/S0363-5023(98)80023-3.
An axillary block and lateral femoral cutaneous nerve block combination was used in 11 patients with upper-extremity injuries requiring large skin grafts. In our experience, this block combination was highly successful. All but one of the patients obtained excellent pain relief (mean visual analog pain scores, 0.2) that required no narcotic analgesics or sedatives. There were no systemic or neurologic side effects attributed to the local anesthetic drugs. We believe that combining an axillary block and a lateral femoral cutaneous nerve block is a clinically useful and effective technique and an excellent anesthetic alternative for procedures requiring large grafts for the upper extremity.
11例需要进行大面积上肢皮肤移植的上肢损伤患者采用了腋路阻滞联合股外侧皮神经阻滞。根据我们的经验，这种阻滞联合方式非常成功。除1例患者外，所有患者均获得了极佳的疼痛缓解效果（视觉模拟疼痛评分平均为0.2），无需使用麻醉性镇痛药或镇静剂。未发现局部麻醉药物引起的全身或神经副作用。我们认为，腋路阻滞联合股外侧皮神经阻滞是一种临床实用且有效的技术，是上肢需要大面积移植手术的一种极佳麻醉选择。
