在急性踝关节骨折复位中使用踝关节阻滞术:现有文献综述。

Q4 Medicine
Georgian medical news Pub Date : 2024-09-01
A Sain, A Elkilany, M Malik, N Manzoor, N Khayyat, H Manyar, M Halasa, J Chia, F Hussain, H Asim, K Wattage, A Jindal, J Wilson, H Burton, W Alfred, V Deshmukh, Z Sohail
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引用次数: 0

摘要

踝关节骨折是急诊科(A&E)治疗的常见损伤,通常需要及时进行骨折复位以恢复关节对齐。传统的疼痛治疗方法,包括静脉镇静和全身麻醉,都存在全身并发症的风险。踝关节阻滞是一种区域麻醉,由于其能够在减轻局部疼痛的同时将全身副作用降至最低,因此越来越多地被用于踝关节骨折复位术。本文回顾了急诊室中踝关节阻滞的技术、最新趋势、优点和缺点。超声引导提高了手术的精确度和成功率,从而改善了疗效。尽管存在一些挑战,如需要专门培训和偶尔出现镇痛不完全的情况,但踝关节阻滞正逐渐成为一种首选的阿片类药物替代疗法。区域麻醉和培训计划的不断进步有望扩大其在急诊护理中的应用。进一步的研究可能会侧重于优化技术以确保一致的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THE USE OF ANKLE BLOCK FOR ACUTE ANKLE FRACTURE REDUCTION: A REVIEW OF CURRENT LITERATURE.

Ankle fractures are common injuries treated in accident and emergency (A&E) departments, often requiring prompt reduction to restore joint alignment. Traditional pain management methods, including intravenous sedation and general anaesthesia, carry risks of systemic complications. The ankle block, a form of regional anaesthesia, is increasingly used for ankle fracture reduction due to its ability to provide localized pain relief while minimizing systemic side effects. This article reviews the techniques, recent trends, advantages, and disadvantages of ankle blocks in A&E settings. Ultrasound guidance has enhanced the precision and success of the procedure, leading to improved outcomes. Despite challenges, such as the need for specialized training and occasional incomplete analgesia, the ankle block is emerging as a preferred opioid-sparing alternative. Continued advancements in regional anaesthesia and training programs are expected to broaden its use in emergency care. Further research may focus on optimizing techniques to ensure consistent results.

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来源期刊
Georgian medical news
Georgian medical news Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
207
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