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脊柱麻醉在腰椎间盘外科手术中的有效性和优势

Mehmet Yigit Akgun1, Helin İlkay Orak1, Mehmet Huseyin Akgul2

  • 1Department of Neurosurgery, Koc University Hospital, Istanbul, Turkey.

Journal of neurological surgery. Part A, Central European neurosurgery
|April 10, 2024
PubMed
概括

脊椎麻醉是腰椎间盘手术的安全有效选择,可显著改善疼痛和生活质量. 这项研究证实了其在某些方面与全身麻醉的可比性和优越性.

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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