在儿科患者群体中超声指导的关节关节阻塞:一项前性观察性研究
M Ashwin1, Kanil Ranjith Kumar1, Renu Sinha1
1Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
肋骨关节阻塞是一种非常成功和安全的技术,用于接受肘下手术的儿科患者. 这种超声波引导的臂阻断器提供了出色的可视化,并实现了100%的成功,没有任何并发症.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 超声导向区域麻醉 超声导向区域麻醉
背景情况:
- 肋骨关节空间为上肢手术提供了一种替代上肢外科手术的内关节臂块.
- 对成年人的研究表明,对远端上肢手术的结果很有希望.
- 臂带是表面的,可以通过超声波识别这个区域.
研究的目的:
- 评估在儿童中 costoclavicular 阻塞的成功率和可行性.
- 评估其适用于儿科患者单边下肘上肢手术的适用性.
主要方法:
- 包括30名接受肘下手术的儿童 (2-12岁).
- 超声波和神经刺激器指导用于用0.5%的罗皮瓦卡因进行 costoclavicular 阻塞.
- 成功被定义为没有显著的血液动力学反应对皮肤切口.
主要成果:
- 在儿科队列中实现了百分之百的 costoclavicular 阻塞成功率.
- 在90%的病例中,超声波可视化 (利克尔特尺度2) 非常好.
- 没有观察到诸如血管/腹腔穿刺或霍纳综合征之类的并发症;报告了低的术后疼痛得分.
结论:
- 肋骨关节阻塞在儿科患者中表现出高的成功率和安全性.
- 超声波证实了状带的持续可见性和表面位置.
- 这种方法可靠地实现了在儿童中没有并发症的阻塞.
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