Scott Hughey, Jacob Cole, Benjamin Drew, Adam Brust, Eric Stedjelarsen
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引用次数: 0
Abstract
Regional anesthesia (RA) is commonly used in perioperative settings of developed and well-resourced environments. RA has significant potential benefits when used in resource-limited environments, including disaster, mass casualty, and wartime environments. RA offers benefits over general anesthesia and opioid-based analgesia, including decreased risk of complications, decreased reliance on mechanical ventilation, improved cost efficiency, and others. The decreasing cost of ultrasound matched with its smaller size and portability increases the availability of ultrasound in these environments, making ultrasound-guided RA more feasible. This daring discourse discusses some historical examples of RA in ultralow resource environments, both man-made disasters and natural disasters. Future investigations should increase the usefulness and availability of RA in resource-limited environments.
区域麻醉(RA)通常用于发达和资源充足环境下的围手术期。在资源有限的环境(包括灾难、大规模伤亡和战时环境)中使用区域麻醉具有很大的潜在优势。与全身麻醉和基于阿片类药物的镇痛相比,RA 的优势包括降低并发症风险、减少对机械通气的依赖、提高成本效益等。超声波的成本不断降低,而且体积更小,便于携带,这些都增加了超声波在这些环境中的可用性,使超声引导下的 RA 更加可行。这篇大胆的论文讨论了在超低资源环境(包括人为灾害和自然灾害)中进行 RA 的一些历史实例。未来的研究应提高 RA 在资源有限环境中的实用性和可用性。
期刊介绍:
Regional Anesthesia & Pain Medicine, the official publication of the American Society of Regional Anesthesia and Pain Medicine (ASRA), is a monthly journal that publishes peer-reviewed scientific and clinical studies to advance the understanding and clinical application of regional techniques for surgical anesthesia and postoperative analgesia. Coverage includes intraoperative regional techniques, perioperative pain, chronic pain, obstetric anesthesia, pediatric anesthesia, outcome studies, and complications.
Published for over thirty years, this respected journal also serves as the official publication of the European Society of Regional Anaesthesia and Pain Therapy (ESRA), the Asian and Oceanic Society of Regional Anesthesia (AOSRA), the Latin American Society of Regional Anesthesia (LASRA), the African Society for Regional Anesthesia (AFSRA), and the Academy of Regional Anaesthesia of India (AORA).