电邮这篇文章 Regional blockades using minimal doses of local anesthetics in surgery on clavicle
- 作者: Brukhnov A.V.1, Kokhan Z.V1, Piachersky V.G1, Marochkov A.V1
-
隶属关系:
- Mogilev Regional Hospital
- 期: 卷 8, 编号 4 (2014)
- 页面: 22-26
- 栏目: Articles
- URL: https://bakhtiniada.ru/1993-6508/article/view/36233
- DOI: https://doi.org/10.17816/ра.v8i4.36233
- ID: 36233
如何引用文章
全文:
详细
The goal of the study was to determine recommendations to improve the effectiveness and safety of anesthetic management during surgical procedures on the clavicle. The article analyzes results of completed regional blockade of brachial plexus in 67 patients. Group A consisted of 27 patients who underwent brachial plexus block with ropivacaine 0.75% in the volume of 30.0 ml. Group B included 27 patients who underwent blockade of ventral spinal nerves C5, C6, C7, C8, Th1 and anesthesia superficial cervical plexus branches. Group С included 13 patients who underwent blockade of ventral spinal nerves C5, C6, C7, C8, Th1. It was found that the most effective and safe anesthesia for clavicle area surgery includes brachial plexus block of ventral spinal nerves performed with minimal doses administration of local anesthetics at C5, C6, C7, C8, Th1 level and additional block of branches of superficial cervical plexus. This technique reduces incidence of complications associated with systemic toxicity and other side effects of local anesthetic.
作者简介
Andrey Brukhnov
Mogilev Regional Hospital
Email: andreibruhnov@gmail.com
212026, Mogilev, Republic of Belarus
Z. Kokhan
Mogilev Regional Hospital212026, Mogilev, Republic of Belarus
V. Piachersky
Mogilev Regional Hospital212026, Mogilev, Republic of Belarus
A. Marochkov
Mogilev Regional Hospital212026, Mogilev, Republic of Belarus
参考
- Kurosawa S., Kato M. Anesthetics, immune cells, and immune responses. Journal of Anesthesia. 2008; 22(3): 263-277.
- Monk T.G., Weldon B.C., Garvan C.W. et al. Predictors of Cognitive Dysfunction after Major Noncardiac Surgery Clinical Investigations. Anesthesiology. 2008; 108(1): 18-30.
- Millar K., Bowman A.W., Burns D., McLaughlin P. et al. Children's cognitive recovery after day-case general anesthesia: a randomized trial of propofol or isoflurane for dental procedures. Paediatr Anaesth. 2014 Feb; 24(2): 201-207.
- Gonano C. Comparison of economical aspects of interscalene brachial plexus blockade and general anaesthesia for arthroscopic shoulder surgery. Br J Anaesth. 2009; 103: 428-433.
- Piacherski V., Marochkov A., Brukhnou A., Kokhan Z. Comparison of Three Methods of Regional Anesthesia of Peripheral Nerves and Plexuses. Open Journal of Anesthesiology. 2012; 2(5): 237-243.
- Williams S.R., Chouinard P., Arcand G. et al. Ultrasound guidance speeds execution and improves the quality of supraclavicular block. Anesth Analg. 2003; 97: 1518 -1523.
- KuchynIu L. Interscalene brachial plexus block in patients with clavicle fractures: randomized comparison of techniques with ultrasound guidance and neurostimulator. NovostiKhirurgii. 2013 Nov-Dec; 21(6): 105-108.
- Cuvillon P., Nouvellon E., Ripart J., Boyer J.C., Dehour L., Mahamat A. et al. A comparison of the pharmacodynamics and pharmacokinetics of bupivacaine, ropivacaine (with epinephrine) and their equal volume mixtures with lidocaine used for femoral and sciatic nerve blocks: a double-blind randomized study. AnesthAnalg. 2009; 108: 641-649.
- Rosenberg Per H., Veering Bernadette Th., Urmey William F. Maximum Recommended Doses of Local Anesthetics: A Multifactorial Concept. Regional Anesthesia & Pain Medicine. November/December. 2004; 29(6): 564-575.
- Синельников Р.Д. Атлас анатомии человека. Том 3. Учение о нервной системе, органах чувств и органах внутренней секреции. / Р.Д. Синельников. - М. Издательство «Медицина», 1974. 399 с.
- Кованов В.В. Оперативная хирургия и топографическая анатомия. / В.В. Кованов. М.: Издательство «Медицина», 1977. 415 с.
- Анатомия человека. В 2-х томах Т.2. авт.: Э.И. Борзяк, В.Я. Бочаров, Л.И. Волкова и др.;/ Под ред. М.Р. Сапина. М., Медицина, 1987. 480 с.
- Chelly J.E. Peripherial nerve blocks: a color atlas. 3rd ed. Philadelphia, Wolters Kluwer/Lippincott Williams & Wilkins. 2009; pp 1-474.
- Marhofer P., Harrop-Griffiths W., Willschke H., Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: Part 2-Recent developments in block techniques. British Journal of Anaesthesia. 2010; 104(6): 673-683.
- Малрой М. Местная анестезия: Иллюстрированное практическое руководство / Пер. с англ.; М.: БИНОМ. Лаборатория знаний, 2003. 301 с.
- Рафмелл Д.Р., Джозеф М.Н., Вискоуми К.М. Регионарная анестезия: самое необходимое в анестезиологии / Пер. с англ ; М.: МЕДпресс-информ, 2007. 272 с.
- Периферическая регионарная анестезия: атлас / Г. Майер, И. Бюттнер; пер. с англ.; под ред. П.Р. Камчатнова. М.: БИНОМ. Лаборатория знаний, 2010. 260 с.
- Moayeri N., Paul E. Bigeleisen, Gerbrand J. Groen. Quantitative architecture of the brachial plexus and surrounding compartments, and their possible significance for plexus blocks. Anesthesiology. 2008; 108(2): 299-304.
- Gautier Philippe et al. The Minimum Effective Anesthetic Volume of 0.75% Ropivacaine in Ultrasound-Guided Interscalene Brachial Plexus Block. Anesthesia &Analgesia. October 2011; 113(4): 951-955.
- Duggan E., Beheiry H., Perlas A. et al. Minimum effective volume of local anesthetic for ultrasound-guided supraclavicular brachial plexus block. Reg.Anesth Pain Med. 2009; 34: 215-218.
- Riazi S., Carmichael N., Awad I., Holtby R.M., McCartney C.J.L. Effect of local anesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block. Br J Anaesth. 2008; 101: 549-556.
补充文件
