根据锁骨的定位,在颈肩交界处周围阻滞中麻醉的扩散(病例系列)。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-10-01 DOI:10.14744/agri.2021.73604
Ergün Mendeş, Aziz Yarbil, Hüseyin Göçergil, Yusuf Emeli
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引用次数: 0

摘要

臂丛阻滞后,局部麻醉剂不能在锁骨下扩散,可扩散到硬膜外腔,呈头侧倾向。我们的目的是通过向周围阻滞添加造影剂来显示局部麻醉如何根据锁骨的完整性进行扩散。我们观察到锁骨在颈肩交界处形成的屏障在骨折>2 cm时消失,药物分布呈尾侧过渡。我们认为锁骨骨折的类型和程度改变了药物的扩散,影响了阻滞的成功。
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Spread of anesthetics in peripheral blocks at the neck-shoulder junction according to the localization of clavicle (case series).

After the brachial plexus blocks, local anesthetics do not diffuse under the clavicle and can spread to the epidural space with a cephalic tendency. We aimed to show how the local anesthetic spread will be according to the integrity of the clavicle by adding contrast agent to the peripheral blocks. We observed that the barrier created by the clavicle at the neck-shoulder junction disappeared in fracture >2 cm and the drug distribution showed a caudal transition. We think that the type and degree of clavicle fracture changes the drug diffusion and affects the success of the block.

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发文量
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