在全髋关节置换术中使用外周神经阻滞。

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2024-11-01 Epub Date: 2024-06-22 DOI:10.1007/s11916-024-01287-7
Leon Grinman, Brett Elmore, Alberto E Ardon, Adnan Hussain, Mohammed Faysal Malik, Nadia Hernandez, Mackenzie Janice Jacoby
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引用次数: 0

摘要

综述目的:本综述旨在总结最近有关全髋关节置换术(THA)区域麻醉(RA)技术和结果的文献,以应对不断变化的手术技术和围术期注意事项:最新研究结果:根据大型荟萃分析,周围神经阻滞适用于全髋关节置换术。每种阻滞都有其自身的风险和益处,特定技术的结果数据有限。新的手术技术、多模式镇痛技术的改进以及超声引导区域麻醉技术的改进使接受 THA 手术的患者能够更好地控制疼痛,同时降低相关风险。阻滞选择仍然受到提供者的舒适度、手术方法、患者解剖和术后目标的影响。需要对特定神经阻滞进行头对头研究。
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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Use of Peripheral Nerve Blocks for Total hip Arthroplasty.

Purpose of review: The purpose of this review is to summarize the recent literature regarding regional anesthesia (RA) techniques and outcomes for total hip arthroplasty (THA) in the face of changing surgical techniques and perioperative considerations.

Recent findings: Based on large meta-analyses, peripheral nerve blocks are indicated for THA. Each block has its own risks and benefits and data for outcomes for particular techniques are limited. New surgical techniques, improved use of multimodal analgesia, and improved ultrasound guided regional anesthetics lead to better pain control for patients undergoing THA with less associated risks. Block selection continues to be influenced by provider comfort, surgical approach, patient anatomy, and postoperative goals. Head-to-head studies of particular nerve blocks are warranted.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
An Update on Emerging Regenerative Medicine Applications: The Use of Extracellular Vesicles and Exosomes for the Management of Chronic Pain. Advances in the Treatment of Neuropathic Pain by Sympathetic Regulation. Methadone and Buprenorphine in the Perioperative Setting: A Review of the Literature. Use of Peripheral Nerve Blocks for Total hip Arthroplasty. Management of Post Dural Puncture Headache During Spinal Cord Stimulation Trials: A Review of Current Literature.
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