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Updated: May 30, 2025

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在经过脊髓麻醉的全关节整形术后,经过术后尿保留的协议更改后,减少了导管治疗

Adam S Kohring1, Nihir Parikh, John R Hobbs

  • 1From the Jefferson Health, Stratford, NJ (Kohring) and Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA (Parikh, Hobbs, Hozack, Austin, and Krueger).

The Journal of the American Academy of Orthopaedic Surgeons
|January 28, 2025
PubMed
概括

一个新的选择性膀扫描协议显著降低了全关节节管整形术患者的导管率,避免了不必要的干预和并发症. 这种方法安全地将术后尿 (POUR) 的过度诊断降到最低.

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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...
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