神经轴麻醉及其在术后恢复中的作用:叙述性综述

R. Agarwala, Ben L Morrison
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引用次数: 2

摘要

鞘内(脊髓)、硬膜外和脊髓硬膜外联合(CSE)是一种神经轴技术,可用于提供术后镇痛,在某些情况下,还可用于手术麻醉。它们在目前许多术后增强恢复(ERAS)方案中都有特点,偏向于硬膜外开放手术,因为人们认为它们提供了优越的阿片类镇痛,并通过减缓交感神经流出来减少对手术的应激反应。两者都是电子逆向拍卖概念的关键组成部分。我们的目的是为神经轴技术在大手术中的使用及其在ERAS方案中的使用提供一个基于证据的综述。我们根据叙述性审查报告清单(可在https://dx.doi.org/10.21037/dmr-21-86上获得)提交以下文章。审查文章
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuraxial anaesthesia and its role in enhanced recovery after surgery: a narrative review
Intrathecal (spinal), epidural and the combined spinalepidural (CSE) are neuraxial techniques that can be used to provide postoperative analgesia and, in some circumstances, anaesthesia for surgery. They feature in many current enhanced recovery after surgery (ERAS) protocols with a bias towards epidurals for open surgery because it is thought they provide superior opiate-sparing analgesia and reduce the stress response to surgery through blunting sympathetic outflow. Both are key components of the ERAS concept. We aim to provide an evidenced-based overview for the use of neuraxial techniques in major surgery and their use within an ERAS protocol. We present the following article in accordance with the Narrative Review reporting checklist (available at https:// dx.doi.org/10.21037/dmr-21-86). Review Article
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