对于远半径的开放缩小和内部固定的肋骨关节阻塞
Cassandra Williams1, Jibran Ikram1, Nicholas Swerchowsky2
1Anesthesiology Department, Outcomes Research, Cleveland Clinic, Cleveland, OH, United States.
Saudi journal of anaesthesia
|February 17, 2025
概括
肋骨关节神经阻塞为上肢手术提供了传统臂阻塞的潜在替代方案,降低了腹膜的风险. 这项案例研究突出了在没有阿片类药物的情况下进行远距离半径骨折手术后治疗疼痛的有效性.
科学领域:
- 麻醉学 麻醉学
- 区域麻醉地区麻醉
- 整形外科手术 整形外科手术
背景情况:
- 甲骨架间和甲骨架上质阻塞是上肢手术的标准,但有神经麻的风险.
- 肋骨关节阻塞是一种新兴的技术,有可能减少这种并发症.
研究的目的:
- 为了评估 costoclavicular神经阻塞在远端半径骨折手术中的有效性和安全性.
- 评估 costoclavicular 阻塞的潜力,以提供足够的止痛,同时避免腹膜.
主要方法:
- 在手术前给了一位患有偏远半径骨折的患者进行了一次一次性 costoclavicular 神经阻塞.
- 患者接受了开放式缩小和内部固定骨折.
主要成果:
- 患者没有经历任何需要阿片类药物或其他止痛药的手术前或术后疼痛.
- 没有报告任何并发症,包括腹膜.
结论:
- 肋骨关节神经阻塞是一种可行的和有效的选择,用于管理上肢骨科手术中的疼痛.
- 这种技术可以提供比传统阻塞更安全的替代方案,减轻神经受影响的风险.
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