超声引导下的神经阻滞临床应用研究进展

被引:35
作者
倪蓉
王力甚
机构
[1] 华中科技大学同济医学院附属荆州医院麻醉科
关键词
神经阻滞; 超声引导;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
背景神经阻滞一般根据周围神经体表标志或针刺异感来定位和穿刺。由于解剖变异或肥胖等原因,常致阻滞不全、效果欠佳,有的需要加大辅助用药量,甚至需改为全麻。目的探讨超声引导下行神经阻滞的效果,并与传统定位的阻滞方法进行比较。内容综述近几年来超声引导下行臂丛神经阻滞、腹横肌平面(transversus abdominis plane,TAP)阻滞、小儿区域神经阻滞等的进展。趋向超声引导下行神经阻滞是一种无创和可视的方法,能明显提高阻滞成功率,减少并发症,提高麻醉效果和麻醉安全性。
引用
收藏
页码:558 / 561
相关论文
共 10 条
[1]   A Prospective Clinical Registry of Ultrasound-Guided Regional Anesthesia for Ambulatory Shoulder Surgery [J].
Liu, Spencer S. ;
Gordon, Michael A. ;
Shaw, Pamela M. ;
Wilfred, Sarah ;
Shetty, Teena ;
YaDeau, Jacques T. .
ANESTHESIA AND ANALGESIA, 2010, 111 (03) :617-623
[2]   Defining the Reliability of Sonoanatomy Identification by Novices in Ultrasound-Guided Pediatric Ilioinguinal and Iliohypogastric Nerve Blockade [J].
Ford, Simon ;
Dosard, Maryam ;
Robinson, Ashley J. ;
Campbell, G. Claire ;
Ansermino, J. Mark ;
Lim, Joanne ;
Lauder, Gillian R. .
ANESTHESIA AND ANALGESIA, 2009, 109 (06) :1793-1798
[3]   Ultrasound and Nerve Stimulation-Guided L5 Nerve Root Block [J].
Sato, Masaki ;
Simizu, Sumito ;
Kadota, Ryo ;
Takahasi, Hirosi .
SPINE, 2009, 34 (24) :2669-2673
[4]   Does Ultrasound Guidance Improve the Success Rate of Infraclavicular Brachial Plexus Block When Compared with Nerve Stimulation in Children with Radial Club Hands? [J].
Ponde, Vrushali C. ;
Diwan, Sandeep .
ANESTHESIA AND ANALGESIA, 2009, 108 (06) :1967-1970
[5]  
Ultrasound-Guided Supraclavicular Block: Outcome of 510 Consecutive Cases[J] . Anahi Perlas,Giovanni Lobo,Nick Lo,Richard Brull,Vincent W.S. Chan,Reena Karkhanis.Regional Anesthesia and Pain Medicine . 2009 (2)
[6]   Adverse Outcomes Associated With Stimulator-Based Peripheral Nerve Blocks With Versus Without Ultrasound Visualization [J].
Orebaugh, Steven L. ;
Williams, Brian A. ;
Vallejo, Manuel ;
Kentor, Michael L. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (03) :251-255
[7]   A prospective randomised controlled trial of ultrasound guided versus nerve stimulation guided distal sciatic nerve block at the popliteal fossa [J].
van Geffen, G. J. ;
van den Broek, E. ;
Braak, G. J. J. ;
Giele, J. L. P. ;
Gielen, M. J. ;
Scheffer, G. J. .
ANAESTHESIA AND INTENSIVE CARE, 2009, 37 (01) :32-37
[8]  
Comparative evaluation of ultrasound‐guided continuous infraclavicular brachial plexus block with stimulating catheter and traditional technique: a prospective‐randomized trial[J] . S.DHIR,S.GANAPATHY.Acta Anaesthesiologica Scandinavica . 2008 (8)
[9]  
An Ultrasound Study of the Phrenic Nerve in the Posterior Cervical Triangle: Implications for the Interscalene Brachial Plexus Block[J] . Jens Kessler,Ingeborg Schafhalter-Zoppoth,Andrew T. Gray.Regional Anesthesia and Pain Medicine . 2008 (6)
[10]  
Ultrasonographic-Guided Ilioinguinal/Iliohypogastric Nerve Block in Pediatric Anesthesia: What is the Optimal Volume?[J] . Anesthesia & Analgesia . 2006 (6)