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在开放肩膀手术中由外科医生施加的手术内手术臂阻塞 - - 一种新且安全的技术

Srinath Kamineni¹, Naga Suresh Cheppalli²

¹Department of Orthopaedics and Sports Medicine, Elbow Shoulder Research Centre, University of Kentucky, Lexington, KY, USA.

Shoulder & elbow

|October 9, 2023

概括

一种由外科医生施用的新型手臂阻提供了一种安全而有效的替代方案,用于超声波引导的间层阻隔,用于肩膀关节整形疼痛管理. 这种技术可以避免常见的并发症,并提高手术室的效率.

科学领域:

整形外科手术整形外科手术
疼痛管理疼痛管理
麻醉学麻醉学

背景情况:

门诊肩部手术需要有效和安全的疼痛管理策略.
超声波导向的间层块 (ISB) 是当前的标准,但有局限性,包括操作员的依赖性和潜在的并发症.
尽量减少术后疼痛,防止门诊转换为住院手术至关重要.

研究的目的:

引入和评估一项新的技术,即在肩膀关节整形手术 (SA) 中,由外科医生施用手术内手术臂阻塞.
与传统的ISB相比,评估这个新区块的安全性,有效性和效率.
确定这种技术是否能减少常见的ISB相关并发症,并改善手术室的工作流程.

主要方法:

开发了一种新的手术技术,涉及通过deltopectoral方法由外科医生进行的手术内手术臂阻塞,用于开放的SA.
阻塞是在手术暴露后进行的,无论是在骨工作之前还是之后.
对四年 (2018-2022) 的病例进行了回顾性审查,以评估结果和并发症.

主要成果:

通过外科医生进行的臂阻断被发现是简单,安全和有效的,用于治疗术后疼痛.
没有观察到与ISB典型相关的并发症,如呼吸抑制或神经麻.
该技术在节省时间和成本方面表现出优势,有助于提高手术室效率.

结论:

通过外科医生进行的手术内手术臂阻塞是SA疼痛管理中ISB的可行和有利的替代方案.
这种技术通过避免与ISB相关的并发症来提高患者的安全性.
该方法在效率,成本效益和手术室工作流程方面提供了显著的好处.

关键词:

臂状交叉的阻塞疼痛管理疼痛管理反向肩膀关节整形手术整体肩部关节整形手术

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