相关实验视频

Updated: Jun 22, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

外科手术期间区域麻醉与缺失急性隔间综合征的风险之间的关系骨骨折后的骨骨折

Jaquelyn Kakalecik¹, Christopher Satchell¹, Kevin T Root²

¹From the Department of Orthopaedic Surgery & Sports Medicine, University of Florida, Gainesville, Florida.

Anesthesia and analgesia

|June 28, 2024

概括

骨骨折的区域麻醉不增加错过的急性隔间综合征 (ACS),但减少了阿片类药物的使用. 这项研究发现,在有和没有神经阻塞的患者中,遗漏的ACS发生率相似.

科学领域:

整形外科手术整形外科手术
麻醉学麻醉学
创伤护理创伤护理

背景情况:

急性隔间综合征 (ACS) 是骨骨折的外科紧急情况.
早期诊断和治疗对于预防严重并发症至关重要.
区域麻醉在掩盖或改变ACS表现中的作用受到辩论.

研究的目的:

在骨骨折患者中调查错过急性隔间综合征 (ACS) 的发生率.
为了比较区域麻醉治疗和没有区域麻醉治疗的患者之间错过的ACS的发生率.
评估区域麻醉对术后阿片类药物消费的影响.

主要方法:

操作性骨轴或平原骨折的回顾性审查 (2015年1月至2022年4月).
排除标准包括年龄<18岁,双侧膝关节脱,先前存在的神经损伤或预防性纤维切割.
错过的ACS在3个月的随访中被定义为持续的运动缺陷;记载了神经阻塞细节和阿片类药物消费 (MME).

主要成果:

住院期间隔间综合征的总发病率为2.2%;遗漏的ACS发病率为0.9%.
在接受神经阻塞 (0.7%) 和不接受神经阻塞 (1.7%) 的患者之间,错过的ACS率没有显著差异,P = .19.
接受神经阻塞的患者的24小时术后阿片类药物需求 (MME) 显著降低.

结论:

周围区域麻醉似乎不会增加手术时骨骨折中错过的ACS的发生率.
区域麻醉与手术后阿片类药物需求的减少有关.
进一步的研究可能会探索特定的神经阻断技术及其对ACS检测的影响.

更多相关视频

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg

Published on: May 31, 2019

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$ 07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

相关概念视频

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local 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...

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

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...

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...