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Updated: Jun 14, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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在全关节整形术中局部透麻醉:随机对照试验

Arnau Verdaguer-Figuerola1, Vito Andriola2, Albert Soler-Cano2

  • 1Medical Resident of the Orthopaedic and Trauma, Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA), Universitat Autònoma de Barcelona, Sabadell, Spain.

Arthroplasty today
|June 12, 2025
PubMed
概括

当地透止痛 (LIA) 在全关节整形术 (THA) 后没有改善疼痛,住院或功能结果. 这项研究发现,在THA患者中,LIA对康复或满意度没有显著的益处.

关键词:
局部透 镇痛 镇痛 局部透 镇痛手术后的疼痛 术后的疼痛整体关节整形术 关节整形术

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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...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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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