神经麻醉实践中的区域麻醉。

Ashutosh Kaushal, Rudrashish Haldar
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引用次数: 4

摘要

区域麻醉在神经麻醉实践中一直被低估。然而,在过去的几年里,由于更先进的技术,药物的发展和超声引导的大量使用,这些模式的未被认识的潜力已经被强调。这些技术具有减少局麻药需求、改善术中血流动力学稳定性、改善术后疼痛评分和减少术后镇痛需求等优点。减少的镇痛需求转化为较小的副作用与镇痛药的使用。此外,从传统的基于盲标技术到超声制导的转变,提高了可靠性和安全性。在这篇综述中,我们强调了在神经麻醉师的装备中常见的阻滞,并描述了它们的特征,以及它们的个体特殊性。
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Regional Anesthesia in Neuroanesthesia Practice.

Regional anesthesia has been an undervalued entity in neuroanesthetic practice. However, in the past few years, owing to the development of more advanced techniques, drugs and the prolific use of ultrasound guidance, the unrecognised potential of these modalities have been highlighted. These techniques confer the advantages of reduced requirements for local anesthetics, improved hemodynamic stability in the intraoperative period, better pain score postoperatively and reduced analgesic requirements in the postoperative period. Reduced analgesic requirement translates into lesser side effects associated with analgesic use. Furthermore, the transition from the traditional blind landmark-based techniques to the ultrasound guidance has increased the reliability and the safety profile. In this review, we highlight the commonly practised blocks in the neuroanesthesiologist's armamentarium and describe their characteristics, along with their individual particularities.

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