"在阻止它之前知道它",外围神经的ABCD:部分C (预防神经损伤)
Kartik Sonawane1, Hrudini Dixit2, Kaveri Mehta3
1Anesthesiology, Ganga Medical Centre and Hospitals, Pvt. Ltd, Coimbatore, IND.
Cureus
|August 15, 2023
概括
在手术过程中预防神经损伤至关重要. 多式监测,包括超声波和神经刺激,提高了区域麻醉和外围神经阻塞的安全性.
科学领域:
- 麻醉学 麻醉学
- 神经科学是一个神经科学.
- 外科手术的安全性
背景情况:
- 尽管有进展,但神经损伤在外科手术期间仍然是一个风险.
- 图像和操作员可变性的局限性影响了单一模式神经损伤预防的有效性.
- 预防阴性神经损伤对于安全的区域麻醉 (RA) 来说至关重要.
研究的目的:
- 强调在区域麻醉期间预防外围神经损伤 (PNI) 的重要性.
- 讨论多模式策略,以提高外围神经阻塞 (PNB) 的安全性.
- 提供围手术期间神经损伤的预防措施的概述.
主要方法:
- 对区域麻醉中神经损伤预防的当前文献的综述.
- 强调多式监测技术,包括超声波,外围神经刺激器和注射压力监测.
- 讨论患者定位和手术技术的最佳实践,以避免神经损伤.
主要成果:
- 没有一种单一的方法可以保证100%的预防神经损伤.
- 三重引导 (超声波 + PNB + 注射压力计) 显著提高了 PNB 的安全性.
- 多模式监测对于避免多因素神经损伤至关重要.
结论:
- 谨慎的多式联络方法对于预防PNB和手术期间的神经损伤至关重要.
- 识别和预防先前存在的和阴性神经损伤是RA的关键目标.
- 对于外围神经解剖学和安全协议的全面了解是医生所必需的.
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