关于吸管管道堵塞的25个最常引用的文章:从1980年到2022年的图书识别分析
Antonio Coviello1, Carmine Iacovazzo1, Dario Cirillo1
1Department of Neurosciences, Reproductive and Odontostomatological Sciences, "Federico II" University of Naples, Naples, Italy.
Journal of pain research
|October 9, 2023
概括
这项文献计量研究确定了关于添加管道阻塞的最常引用的论文,这是膝关节手术中术后疼痛控制的关键技术. 这些发现突出了有影响力的研究,以指导麻醉师和研究人员.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 局部麻醉对于术后疼痛控制至关重要,超声波指导提高了安全性和有效性.
- 附带管道阻塞 (ACB) 是局部麻醉中一种重要的技术,用于控制膝关节疼痛.
研究的目的:
- 进行对添加管道阻塞的有影响力的研究进行文献分析.
- 为指导从业者确定和描述与ACB相关的最常引用的文章.
主要方法:
- 1980年至2022年间发表的文章的图书统计分析,来自Web of Science,PubMed和Scopus.
- 关键词包括"诱导管道阻断"",沙芬神经阻断"以及膝关节手术和止痛相关术语.
- 选择最多引用的前25篇论文进行详细分析,使用Pearson相关性对变量关系进行分析.
主要成果:
- 252个出版物被选,其中110个专注于ACB;25个被选择用于研究.
- 被选中的文章发表在8个期刊上,累计引用了1457次.
- "区域麻醉和疼痛医学"发表了最多的文章 (9). 在引用数和引用率之间发现了强烈的相关性 (R=0.84,p<0.001).
结论:
- 这项研究提供了一份关于添加管道阻塞的最有影响力的文献指南.
- 它的目的是帮助麻醉科医生和研究人员获得有效的疼痛管理策略的关键资源.
相关概念视频
Nondepolarizing (Competitive) Neuromuscular Blockers: Mechanism of Action
Nondepolarizing neuromuscular blockers induce paralysis by competitively blocking nicotinic acetylcholine receptors at the muscle end plate. Examples include pancuronium, mivacurium, vecuronium, and rocuronium. These quaternary ammonium derivatives are administered intravenously, are poorly absorbed, and are excreted via the kidneys.
Competitive antagonists prevent acetylcholine from binding to its receptor, inhibiting membrane depolarization. Without conformational changes or intrinsic...
Competitive antagonists prevent acetylcholine from binding to its receptor, inhibiting membrane depolarization. Without conformational changes or intrinsic...
Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacological Actions
Nondepolarizing neuromuscular blockers prevent the membrane depolarization of muscle cells and inhibit muscle contraction. These are usually administered with anesthetics to achieve complete muscle relaxation. Upon administration, these drugs first block the small, rapidly contracting muscles of the face and hands, followed by the larger muscles of the trunk and the intercostal muscles. The diaphragm is the last muscle to be affected.
Although all competitive neuromuscular blockers are designed...
Although all competitive neuromuscular blockers are designed...
Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacokinetics
All neuromuscular blocking agents are injected intravenously because they are poorly absorbed from the GI tract. Rapid onset is achieved with intravenous administration, although absorption is also adequate from an intramuscular injection. Since these agents are highly ionized, they do not readily penetrate cell membranes or cross the blood-brain barrier.
Instead, they are transported by the blood to different tissues. Muscles with a greater blood supply (arteries) and blood flow receive more...
Instead, they are transported by the blood to different tissues. Muscles with a greater blood supply (arteries) and blood flow receive more...
Depolarizing Blockers: Mechanism of Action
Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because succinylcholine...
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because succinylcholine...
Depolarizing Blockers: Pharmocokinetics
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...


