区域麻醉的神经系统并发症:临床指南的最新综述。

Paweł Radkowski, Magdalena Fadrowska-Szleper, Katarzyna Podhorodecka, Marcin Mieszkowski
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摘要

本文的主要目的是介绍区域麻醉的神经系统并发症。我们的分析可以帮助临床医生确定何时可以安全地实施区域麻醉,哪些患者需要额外的预防措施。区域麻醉在麻醉实践中占有重要地位。在这里,我们特别关注最常见的神经系统并发症:硬膜外血肿、麻醉后头痛和周围神经功能缺损。我们调查了这些状态的危险因素,并提出了降低风险的方法。这项工作是基于现有的文献和作者的经验。研究过程涉及使用各种电子数据库中的相关关键词,从而选择1989年至2022年间发表的32篇文章。这篇手稿提供了一个概述和分析现有文献有关神经系统并发症的区域麻醉。我们相信我们的文章提供了最常见的区域麻醉并发症的最新信息,强调了儿童和孕妇的差异,并为临床医生准备和实施麻醉提供了重要的指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Neurological Complications of Regional Anesthesia: An Updated Review with Clinical Guidelines.

The main purpose of this article is to present the neurological complications of regional anesthesia. Our analysis may help clinicians determine when regional anesthesia can be administered safely and in which patients it needs additional precautions. Regional anesthesia has a major role in anesthesia practice. Here, we focus especially on the most common neurological complications: epidural hematoma, post-anesthesia headaches, and peripheral nerve function defect. We investigated risk factors of these states and propose ways of reducing the risks. This work is based on the available literature and the authors' experience. The research process involved using relevant keywords in various electronic databases, resulting in the selection of 32 articles published between 1989 and 2022. This manuscript provides an overview and analysis of the existing literature related to neurological complications of regional anesthesia. We believe that our article provides up-to-date information on the most common regional anesthesia complications, emphasizing differences concerning children and pregnant women and provides important guidance for clinicians in preparing for and performing anesthesia.

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