电邮这篇文章 Two-level brachial plexus block for operations on proximal parts of upper extremity in patient over 70 years old
- 作者: Dubinenkov V.B.1, Lyuboshevskiy P.A.2, Larionov S.V.2
-
隶属关系:
- N. V. Soloviev Clinical emergency hospital
- Yaroslavl’ State Medical Academy, Ministry of Healthcare
- 期: 卷 7, 编号 3 (2013)
- 页面: 31-34
- 栏目: Articles
- URL: https://bakhtiniada.ru/1993-6508/article/view/36198
- DOI: https://doi.org/10.17816/ра.v7i3.36198
- ID: 36198
如何引用文章
全文:
详细
The goal of the study was to determine the efficacy and safety of two-level brachial plexus blockade in patients over 70 years old undergoing operations on proximal parts of upper extremity. The study included 34 patients (operation on trauma of shoulder joint, upper and middle third shoulder)/ Patients were divided into 2 groups. Two-level brachial plexus block was performed in study group: interscalene block was combined with supraclavicular and sub clavicular blockade, the block of superficial cervical plexus and intercostal brachial nerve was also performed. One-level block of brachial plexus (interscalene block and supraclavicular) in combination with block of superficial cervical plexus and intercostal brachial nerve was performed in control group. Visual analog scale (YAS) was used to assess pain level. The following characteristics were taken in account: patient's satisfaction of anesthesia and analgesia, the number of inadequate blocks and complications. Results: two-level brachial plexus blockade performed for surgery on proximal parts of upper extremity is more reliable, provides better quality of anesthesia and postoperative analgesia and doesn't increase complications incidence.
作者简介
V. Dubinenkov
N. V. Soloviev Clinical emergency hospitalYaroslavl’
P. Lyuboshevskiy
Yaroslavl’ State Medical Academy, Ministry of HealthcareYaroslavl’
S. Larionov
Yaroslavl’ State Medical Academy, Ministry of HealthcareYaroslavl’
参考
- Овечкин А. М. Хирургический стресс-ответ, его патофизиологическая значимость и способы модуляции // Регионарная анестезия и лечение острой боли. 2008; 3 (2): 49-62.
- Попов В. Ю. Варианты проводниковой анестезии плечевого сплетения у травматологических больных // Автореферат дисс. канд. мед. наук, 1999, Новосибирск, 16 с.
- Al - Kaisy A., McGuire G., Chan V.W, Bruin G., Peng P., Miciaci A. Analgetic effect of interscalene block using low - dose bupivacaine for outpatient artroscopic shoulder surgery // Reg. Anesth. Pain Med. 1998; 23 (5): 469-473.
- Franco C. D., Vieira Z. E. 1,001 subclavian perivascular brachial plexus blocks: success with a nerve stimulator // Reg. Anesth. Pain Med. 2000; 25 (1): 41-46.
- Egon Lanz, Dieter Theiss, Danilo Jankovic. The Extent of Blockade Following Various Techniques of Brachial Plexus Block // Anesth. Analg. 1983; 62: 55-58.
- Jochum D., Roedel R., Gleyze P., Balliet J. M. Interscalenic block and surgpatients // Ann Fr Anesth Reanim, 1997; 16 (2): 114-119.
- Рафмелл Д. П. Регионарная анестезия/Д. П. Рафмелл, Д. М. Нил, К. М. Вискоуми. - М.: МЕДпресс-информ, 2007. 272 с.
- Мигачев С.Л., Свиридов С. В. Осложнения блокады плечевого сплетения. Регионарная анестезия и лечение боли. Тематический сборник. Москва-Тверь. 2004 г. С. 100-108.
- Морган-мл. Дж. Клиническая анестезиология: в 3-х то-мах./Дж. Э. Морган-мл., С. Мэгис, С. Михаил. - изд. 2-е, испр. - M.-СПб.: БИНОМ-Невский Диалект, 2001.
- Joseph M. Neal, MD, Christopher M. Bernards, MD, Joher F. Butterworth, MD, Guido Di Gregorio, MD. ASRA Practice Advisory of local Anesthetic Sistemic Toxicity// Regional anesthesia and Pain Medicine, Number 2, march-april 2010, 152-161.
补充文件
