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Updated: Sep 9, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

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腫瘍性股関節手術のための超音波誘導型上帯膜ブロックと腰部勃起器脊柱ブロック

Ahmed Salah Abdelgalil1, Hamed Sayed Ashour1, Ayman Sharawy Abdelrahman1

  • 1Pain Relief and Intensive Care Unit, National Cancer Institute, Cairo University, Cairo, Egypt.

Pain reports
|September 2, 2025
PubMed
まとめ

超音波による上帯膜ブロック (SIFIB) と腰椎椎間板ブロック (L-ESPB) は,オピオイドの使用を大幅に減らし,股関節がん手術患者の痛みのコントロールを改善します. この2つのブロックは 比較可能で有効で安全な 地域性鎮痛剤の代替品です

キーワード:
腰椎直立器の平面ブロック腫瘍学上帯状帯膜のブロック股関節手術超音波検査

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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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