相关实验视频
Updated: Mar 3, 2026

04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
1.7K
在手腕道或触发指释放后的术后疼痛,使用局部麻醉用带或WALANT进行局部麻醉
Sang Ho Kwak1, Hyo Seok Jang2, Dong Hee Kim3
1Department of Orthopedic Surgery, SNU Seoul Hospital, Republic of Korea.
The Journal of hand surgery, European volume
|March 2, 2026
概括
与带带的局部麻醉 (LA-T) 相比,宽醒局部麻醉无带 (WALANT) 提供了更好的早期缓解手掌道释放的疼痛. 对于A1轮释放,LA-T也有效,麻醉技术之间的结果类似.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 在手部手术中,带带的局部麻醉 (LA-T) 和没有带的清醒局部麻醉 (WALANT) 是常见的.
- 在手术过程中,LA-T和WALANT之间的术后疼痛差异尚未得到很好的定义.
研究的目的:
- 为了比较手术后疼痛结果,LA-T和WALANT之间的手足道释放和A1轮释放.
- 为了评估患者报告的疼痛,睡眠障碍和止痛药的使用.
主要方法:
- 从2015年至2019年进行的356次手术手术 (184次LA-T,172次WALANT) 的回顾案例系列.
- 包括手腕道释放和A1轮释放.
- 评估疼痛得分,睡眠障碍,医院访问和止痛药需要在1-3天和2周.
主要成果:
- 沃兰特在手掌道释放方面表现出优异的早期疼痛控制,峰值疼痛和止痛药的使用减少.
- 对于这两种程序来说,LA-T的操作时间更短.
- 对于A1轮释放,疼痛结果在LA-T和WALANT之间是相似的.
结论:
- 在手掌道释放的早期疼痛管理中,WALANT是有利的.
- 对于A1轮释放,LA-T仍然是一个可行的选择.
- 麻醉选择应根据程序和患者因素进行个性化选择.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.6K
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...
One of the advantages of...
1.6K
Peripheral Artery Disease V: Postoperative Nursing Management
480
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
480
Local Anesthetics: Clinical Application as Spinal Anesthesia
1.7K
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...
1.7K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
2.3K
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...
2.3K
Local Anesthetics: Common Agents and Their Applications
1.1K
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
1.1K
Local Anesthetics: Clinical Application as Epidural Anesthesia
875
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
875

