相关实验视频

Updated: Sep 13, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

单入口选择性干部块 (S-SeTB):一种创新的方法,以在低资源环境中完成武器受伤患者的上肢麻醉

Majaliwa Shabani¹, Sophie Crespo², Xavier Raingeval³

¹Health_unit, International Committee of the Red Cross, Bamako, Mali.

Local and regional anesthesia

|July 31, 2025

概括

一个新的单入选择性干块 (S-SeTB) 在具有挑战性的环境中为上肢手术提供有效的区域麻醉. 这种简化超声指导技术减少了复杂性和风险,为患者提供了更安全的替代方案.

科学领域:

麻醉学麻醉学
区域麻醉区域麻醉
超声指导程序超声指导程序

背景情况:

武器受伤患者上肢手术的区域麻醉是复杂的,特别是在资源较低的环境中.
现有的技术往往涉及多个针入口和探头重新定位,增加程序的困难和风险.
需要一种更简单,更有效的麻醉技术,用于整个上肢.

研究的目的:

开发和评估一种新的,简化的超声波导向区域麻醉技术,用于上肢手术.
在复杂创伤病例中评估单入选择性干块 (S-SeTB) 的有效性和安全性.

主要方法:

开发了单入选择性干块 (S-SeTB) 技术,针对上干,中干和C8腹肌,扩散到下干.
结合S-SeTB与使用单个皮肤入口点和超声波平面的表面椎结质阻断.
在红十字国际委员会实地医院进行了600多项手术,记录了观察结果.

主要成果:

该S-SeTB始终实现完整的上肢麻醉,包括肩膀和关节骨,没有转换为全身麻醉.
该技术在复杂创伤中耐受良好,有效,没有报告重大并发症.
与传统方法相比,S-SeTB需要较低的麻醉体积 (20-25毫升),并且证明了程序复杂性和风险降低.

结论:

带有表面椎和间骨神经块的S-SeTB是一种可靠的,资源高效和更安全的替代方案,而不是传统的骨块.
这种技术特别适用于严格的环境,麻醉资源和安全边缘有限.
进一步的前性研究正在进行中,以评估区块动态并确认有效性.

关键词:

在 SeTB SeTB 里面.臂麻醉臂麻醉腕麻醉冲突地区麻醉麻醉低资源麻醉低资源麻醉选择性干块可以选择.超声波导向区域麻醉.

更多相关视频

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain

Published on: March 8, 2024

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

Published on: July 28, 2020

相关概念视频

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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...

Depolarizing Blockers: Pharmocokinetics

Depolarizing Blockers: Pharmocokinetics

Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...

Local Anesthetics: Clinical Application as Spinal Anesthesia

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...