在使用醒局部麻醉无护 (WALANT) 技术时对手活性的研究
Clément Prénaud1, Lorenzo Merlini1,2, Simon A Hurst1,3,4
1Avicenne Teaching Hospital, Bobigny, Paris, France.
Journal of hand and microsurgery
|September 13, 2023
概括
使用Wide Awake局部麻醉无护 (WALANT) 技术进行手手术是安全有效的. 在本研究中,局部麻醉中的上腺素并没有影响的生存能力.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 麻醉学 麻醉学
背景情况:
- 由于担心上腺素诱导的血管收缩,人们经常避免使用Wide Awake局部麻醉无护套 (WALANT) 技术进行手手术.
- 历史上,技术挑战也限制了WALANT在这些程序中的使用.
研究的目的:
- 为了评估使用WALANT技术进行的手的可行性,与在区域麻醉下使用带进行的手相比.
主要方法:
- 一项前性比较研究包括74名患者,分为局部区域麻醉组 (36名患者) 和WALANT组 (38名患者).
- 在术后第2天和第10天使用预定义的标准评估了片活力.
主要成果:
- 在WALANT组和区域麻醉与带组之间,没有观察到叶生存结果的显著差异.
- 手术后的评估显示,在两组中,片的存活率和完整性都相当.
结论:
- 在WALANT手手术中在局部麻醉中使用上腺素并没有影响膜血管化.
- 沃兰特技术似乎是手手术的安全和可行的选择.
相关概念视频
01:16Local 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...
One of the advantages of...
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...