(北京协和医院)超声引导下连续收肌管阻滞与连续股神经阻滞(崔旭蕾）
http://v.youku.com/v_show/id_XMTUzMzc3NTc3Mg==.html全膝关节置换（Total Knee Arthroplasty, TKA）术后患者术后早期物理治疗和下床有利于膝关节功能恢复。
然而有 60% 的 TKA 患者术后手术部位有剧烈疼痛 , 严重影响了术后早期的康复训练。
良好的镇痛对TKA 患者的术后膝关节功能恢复至关重要。
参考文献1. Singelyn FJ, Deyaert M,Joris D, et al. Effects of intravenous patient-controlled analgesia withmorphine, continuous epidural analgesia, and continuous three-in-one block onpostoperative pain and knee rehabilitation after unilateral total knee arthroplasty.Anesth Analg, 1998, 87(1): 88-92.2.Capdevila X, Barthelet Y, Biboulet P, et al. Effects of perioperative analgesictechnique on the surgical outcome and duration of rehabilitation after majorknee surgery. Anesthesiology, 1999, 91(1): 8-15.3.Hogan MV, Grant RE, Lee L Jr. Analgesia for total hip and knee arthroplasty: areview of lumbar plexus, femoral, and sciatic nerve blocks. Am J Orthop(Belle Mead NJ), 2009, 38(8): E129-E133.4.Allen HW, Liu SS, Ware PD, et al. Peripheral nerve blocks improve analgesiaafter total knee replacement surgery. Anesth Analg, 1998, 87(1): 93-97.5.Wang H, Boctor B, Verner J. The effect of single-injection femoral nerve blockon rehabilitation and length of hospital stay after total knee replacement.Reg Anesth Pain Med, 2002, 27(2): 139-144.6.Atkinson HD, Hamid I, Gupte CM, et al. Postoperative fall after the use of the3-in-1 femoral nerve block for knee surgery: a report of four cases. JOrthop Surg (Hong Kong), 2008, 16(3): 381-384.7.Kent ML, Hackworth RJ, Riffenburgh RH, et al. A comparison of ultrasound-guidedand landmark-based approaches to saphenous nerve blockade: a prospective,controlled, blinded, crossover trial. Anesth Analg, 2013, 117(1): 265-270.8.Kim DH, Lin Y, Goytizolo EA, et al. Adductor canal block versus femoral nerveblock for total knee arthroplasty: a prospective, randomized, controlledtrial. Anesthesiology, 2014, 120(3): 540-550.9.Jaeger P, Grevstad U, Henningsen MH, et al. Effect of adductor- canal-blockadeon established, severe post-operative pain after total knee arthroplasty: arandomised study. Acta Anaesthesiol Scand, 2012, 56(8): 1013-1019.10.Jenstrup MT, Jaeger P, Lund J, et al. Effects of Adductor-Canal- Blockade onpain and ambulation after total knee arthroplasty: a randomized study. ActaAnaesthesiol Scand, 2012, 56(3): 357-364.11.Zhang W, Hu Y, Tao Y, et al. Ultrasound-guided continuous adductor canal blockfor analgesia after total knee replacement. Chin Med J (Engl).2014;127(23):4077-81.
学习了 很适用，感谢崔老师 shuipingtaigaole 真羡慕你们有那样的环境，要是给我我肯定也可以，我们这里都不用全麻的，就是纯神经阻滞，年轻时没好好学没考上考大学没办法
csxsjzzq 发表于 2016-5-6 19:06
真羡慕你们有那样的环境，要是给我我肯定也可以，我们这里都不用全麻的，就是纯神经阻滞，年轻时没好好学没 ...
纯神经阻滞也可以做的。腰丛＋坐骨。最好再加两个高位腰椎旁阻滞cover止血带引起的不适。
果然是高大上啊，长见识了 学习了 很适用， 感谢崔老师 当初进修报的协和，可惜没去成。 cuixulei1 发表于 2016-5-9 20:44 static/image/common/back.gif
纯神经阻滞也可以做的。腰丛＋坐骨。最好再加两个高位腰椎旁阻滞cover止血带引起的不适。
请问做哪两个高位的腰椎旁神经阻滞？腰丛＋骶旁坐骨神经阻滞就能够满足整个下肢手术了
捻草飞笑 发表于 2016-6-4 22:35
请问做哪两个高位的腰椎旁神经阻滞？腰丛＋骶旁坐骨神经阻滞就能够满足整个下肢手术了
T12-L1,L1-2椎旁＋腰丛＋骶丛