外耳炎的耳耳神经阻塞:一个病例系列
Daniela Usuga1, Scott C Everett2, Michael Shalaby3
1Department of Emergency Medicine, University of Texas at Southwestern, 5323 Harry Hines Blvd., Dallas, TX 75390, United States of America.
The American journal of emergency medicine
|February 14, 2025
概括
耳鼻神经阻塞提供了一种安全有效的方法来管理急性外耳炎 (AOE) 疼痛在急诊室. 这种技术提供了立即的缓解,并且很容易在没有超声波指导的情况下进行.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 紧急医疗 紧急医疗
背景情况:
- 外耳急性炎 (AOE) 是一种常见的耳部感染,会引起严重的疼痛和炎症.
- 外耳道接收来自多个头骨神经的感觉内接.
- 在紧急情况下,有效的疼痛管理对AOE患者至关重要.
研究的目的:
- 评估耳鼻神经阻塞在AOE患者疼痛缓解方面的疗效.
- 评估这种神经阻断技术在急诊室 (ED) 环境中的安全性和可行性.
主要方法:
- 一个涉及三名被诊断患有AOE的患者的病例系列.
- 使用0.5%的布皮瓦卡因通过基准技术进行耳鼻神经阻塞.
- 评估手术后立即缓解疼痛的情况.
主要成果:
- 这三名患者在耳鼻神经阻塞后立即感到疼痛缓解.
- 该程序被认为是安全的,使用最小的麻醉剂,避免主要的血管结构.
- 这种技术很容易在不需要超声波指导的情况下进行.
结论:
- 耳膜神经阻塞代表了一种安全,高效和局部化的选择,用于管理OE疼痛.
- 需要对更大的研究进行进一步的调查,例如随机试验,以确认疗效并优化应用.
相关概念视频
Anatomy of the Ear
7.1K
Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
7.1K
Hearing
51.8K
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
51.8K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
930
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
930


