[Venous surgery of the lower limb: value of nerve blocks].

Cahiers d'anesthesiologie Pub Date : 1996-01-01
S Serri
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Abstract

The author describes his experience of 152 cases of saphenous veins surgery performed under sciatic and femoral blocks. These nerves were located by a nervestimulation. Femoral nerve was blocked under the inguinal ligament; the sciatic nerve is blocked by the posterior approach, at the buttocks. 152 patients, 136 cases were considered satisfactory: patients felt comfortable during and after the surgery; the stripper got up the vein more easily because of the vasoplegia; very good haemodynamic stability during changes in positioning; excellent nociceptive protection during the surgery. Sixteen cases were not satisfactory: the patient couldn't overcome his anxiety; the anaesthesiologist made technical mistakes; unbearable pain at the infero-internal face of the knee during the stripping. Considering these results, the blocks of the lower extremity could be an alternative to other anaesthetic techniques.

下肢静脉手术:神经阻滞的价值。
作者描述了152例在坐骨和股动脉阻滞下进行的隐静脉手术的经验。这些神经是通过神经刺激确定的。股神经在腹股沟韧带下阻滞;坐骨神经被后路阻断,在臀部。152例,满意136例:患者术中及术后感觉舒适;由于血管截瘫,剥离者更容易上静脉;在体位变化过程中有很好的血流动力学稳定性;手术过程中良好的伤害性保护。不满意16例:患者不能克服焦虑;麻醉师犯了技术错误;在脱衣过程中,膝盖内侧会有难以忍受的疼痛。考虑到这些结果,下肢阻滞可能是其他麻醉技术的替代方案。
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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