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在超声导向的上肢手术中使用中枢与侧向方法来阻止上肢手术的肋骨关节肌:一个随机对照试验

Saranlal Am¹, Nishant Patel¹, Rakesh Kumar¹

¹All India Institute of Medical Sciences, New Delhi, India.

Anaesthesiology intensive therapy

|October 25, 2024

概括

对于 costoclavicular brachial plexus 阻塞的中间方法在执行时间或难度方面,与侧向方法相比,没有显著的优势. 这两种方法都显示出更高的BMI和绳索深度增加了难度.

科学领域:

麻醉学麻醉学
区域麻醉地区麻醉
上肢手术上肢手术

背景情况:

肋骨关节臂阻塞是上肢手术麻醉的首选方法.
该技术缺乏标准化,中间和横向方法是常见的.

研究的目的:

为了比较 costoclavicular brachial plexus 的中间和侧面的方法.
评估两种方法之间的性能时间和患者特异性临床结果的差异.

主要方法:

一项随机研究比较了中间 (M组) 和侧面 (L组) 方法.
评估的主要结果:性能时间. 二次结果:成像时间,注射时间,阻塞发作,麻醉成功和表演者困难.
使用修改治疗意图方法对59名患者进行统计分析.

主要成果:

平均性能时间为11.9±3.8分钟 (M组) 和9.4±4.1分钟 (L组),P<0.05.
针时间显著不同 (P = 0.035),M组中位数为9.5分钟,L组中位数为7分钟.
表演者难度分级差异很大 (P = 0.032),M组的难度更高.
增加的BMI (≥25) 与更长的平均性能时间 (9.95分钟,P = 0.0243) 相相关.

结论:

介面方法在表演时间,成像时间,针针时间或表演者难度方面没有明显的优势.
表演时间和表演者难度都随着身体质量指数 (BMI) 的提高和手臂绳的深度增加而增加,特别是在中间方法中.

关键词:

关节关节性阻塞关节关节性阻塞侧向接近侧向接近中介式的方法.区域麻醉地区麻醉超声波超声波是指超声波的使用.

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