[新旧区域麻醉程序回顾 - 从腹部到脚趾]。

IF 0.3 4区 医学 Q4 ANESTHESIOLOGY Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-03-01 Epub Date: 2024-03-21 DOI:10.1055/a-2065-7660
Paul Kessler
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引用次数: 0

摘要

近年来,超声(US)技术大大扩展了区域麻醉程序的范围。腹壁阻滞正日益成为腹部手术、妇科或泌尿科手术后多模式术后疼痛概念中不可或缺的一部分。胸硬膜外镇痛仍然是大范围手术的黄金标准。由于下肢手术后需要快速活动和出院,因此放弃了神经轴或神经丛阻滞,转而使用选择性外周阻滞,如 PENG 阻滞或内收肌管阻滞。以下文章旨在向读者展示使用选择性阻滞进行腹壁和下肢阻滞的区域麻醉程序的变化。
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[Old and New Regional Anesthesia Procedures Under Review - Abdomen to Toe].

Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block. The following article is intended to show the reader the change in the use of regional anesthesiological procedures for abdominal wall and lower extremity blocks using selected blockages.

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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
115
审稿时长
6-12 weeks
期刊介绍: AINS ist die Fachzeitschrift für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie im Georg Thieme Verlag. Sie vermittelt aktuelles Fachwissen und bietet Fortbildung. AINS hat sich das Ziel gesteckt, den Leserinnen und Lesern – Fachärzten und Weiterbildungsassistenten in der Anästhesiologie – immer praxisbezogenen Nutzwert und größtmögliche Unterstützung zu bieten.
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