超声引导下双侧低剂量区域麻醉代替全身麻醉复发高危患者1例。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Fikret Salık, Ümit Akol, Hakan Akelma, Mustafa Bıçak
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引用次数: 0

摘要

区域麻醉的做法是重要的,因为它们有优点,例如,病人的意识是开放的,自主呼吸继续,气道反射保留,术后镇痛持续,病人有早期活动。大剂量大容量局麻药应用于臂丛神经阻滞和神经刺激。然而,由于超声(US)技术的发展和图像质量的提高,有限麻醉剂量的减少,以及由于其血管性和胸膜穿刺风险的降低等优点,其应用越来越广泛。通过US,可以监测神经和解剖结构,跟踪针头,并通过监测局部麻醉的分布来减少剂量。多发放热烧伤引起的器官和组织损失和组织感染,特别是烧伤后,需要多次手术治疗。在将这些病人进行手术时,麻醉师在许多阶段可能会遇到困难。为此,他们更倾向于局部麻醉,以减少并发症。在我们的研究中,我们的目的是介绍低剂量双侧锁骨上、锁骨下和腋窝阻滞与us引导下截瘫高危创伤患者双侧伤口、前臂、手腕和烧伤引起的伤口。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrented bilateral low-dose regional anesthesia under ultrasound guidance rather than general anesthesia in a high-risk patient: Rare a case.

Regional anesthesia practices are important because they have the advantages, for example, the patient's awareness is open, spontaneous breathing continues, airway reflexes are preserved, analgesia continues in the post-operative period, and the patient has early mobilization. Local anesthetic at high doses and volumes are used in brachial plexus blocks with nerve stimulator. However, due to the development in ultrasound (US) technology and the increase in image quality, reduced dose of limited anesthesia, and because of its advantages such as vascular and reduced risk of pleural puncture, it has become increasingly widespread. Through US, it is possible to monitor the nerves and anatomical structures, to follow the needle, and to reduce the dose by monitoring the distribution of the local anesthetic given. Organ and tissue losses and tissue infections due to multiple exothermic burns, especially after burns, require multiple surgical procedures. While taking these patients to surgery, anesthesiologists may have difficulty in many stages. For this purpose, they prefer regional anesthesia for less complications. In our study, we aimed to present a low-dose bilateral supraclavicular, infraclavicular, and axillary block with US-guided paraplegic high-risk trauma in a patient with bilateral wounds, forearms, wrists, and wounds caused by burns.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
22
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