Regional Anesthesia Device Against the “Dead Ends” in the Emergency Unit Peripheral Locoregional Anesthesia in front of “ Therapeutic Impasse” in the Emergency Operating Room

N. Jbili, Jaouad Laoutid Lotfi Bibiche, A. Maaroufi, Abdelatif Diai, Nourdine Jebbar, Mounir Khalil Mohamed Ouahidi, H. Kechna, Jaouad Laoutid
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Abstract

Locoregional anesthesia (ALR) is a technique that is increasingly expanding because of its safety and safety compared with general anesthesia and axial blocks. Locoregional anesthesia has several advantages in the context of emergency surgery. They simplify pre- and postoperative management for both the patient and the healthcare team. This is a prospective study conducted over a period of one year in the emergency room of the military hospital Moulay Ismail Meknes. Patients admitted for surgical limb emergencies with severe cardiorespiratory and metabolic impairment and in whom general anesthesia or peripullary anesthesia are considered to be at high risk were included. ALR device has been a very good alternative. Our study included 30 patients including 18 men and 12 women, the mean age was 72.5 years (63-82) all our patients were classified ASA IV. 20 blocks were made at the lower limbs and 10 at the upper limbs. Ultrasound detection was performed in 16 cases and the rest by neurostimulation. The interventions were carried out without affecting the previous state of the patients with good analgesia and satisfaction of the patients. ALR represents anesthetic technique of putting by its good tolerance. This interest differs in emergencies from fragile patients. All this justifies the need for good training and mastery of these techniques by all anesthetists’ doctors.
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区域麻醉装置对抗急诊科的“死胡同”外周局部麻醉对抗急诊科的“治疗僵局
与全身麻醉和轴位阻滞相比,局部区域麻醉(ALR)因其安全性和安全性而日益得到广泛应用。局部区域麻醉在急诊手术中有几个优点。它们简化了患者和医疗团队的术前和术后管理。这是一项在穆莱伊斯梅尔梅克内斯军事医院急诊室进行的为期一年的前瞻性研究。因外科肢体急诊入院的患者伴有严重的心肺和代谢损伤,全麻或周围麻醉被认为有高风险。ALR装置一直是一个很好的替代方案。我们的研究纳入了30例患者,其中男性18例,女性12例,平均年龄为72.5岁(63-82岁),所有患者均被分类为ASA IV。在下肢和上肢分别做了20个阻滞和10个阻滞。超声检查16例,其余行神经刺激。在不影响患者既往状态的情况下进行干预,镇痛效果良好,患者满意度高。ALR以其良好的耐受性代表了放药技术。这种兴趣在紧急情况下与脆弱的病人不同。所有这些都证明了所有麻醉师的医生都需要接受良好的培训并掌握这些技术。
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