国际麻醉学与复苏杂志   2014, Issue (6): 6-6
    
连续臂丛神经阻滞在儿童术后镇痛的应用进展
余倩, 叶茂1()
1.重庆医科大学研究生学院
The application of continuous brachial plexus block in pediatric postoperative analgesia
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摘要:

【摘要】 背景 连续臂丛神经阻滞(continuous brachial plexus block, CBPB)用于骨科麻醉及术后镇痛效果可靠,成年人麻醉已经应用广泛, 在儿科麻醉的应用也越来越受到关注。 目的 归纳总结CBPB的安全性及可行性,探讨儿童骨科术后镇痛前景。 内容 描述了臂丛外周神经导管常见方法;比较超声引导下与神经刺激仪引导连续臂丛神经阻滞;局麻药输注方式;CBPB的并发症。 趋向 CBPB是实施骨科术后镇痛比较理想的方法,目前儿童患者应用并不广泛,有关内容需进一步研究。

关键词: 臂丛;麻醉;儿童;镇痛;外周神经导管
Abstract:

【Abstract】 Background Continuous brachial plexus block(CBPB) has been widely used in adult orthopedic anesthesia and postoperative analgesia,its application in pediatric anesthesia is also increasing. Objective To summarize the safety and feasibility of CBPB in pediatric patients and explore its application prospect in postoperative analgesia after pediatric orthopedic surgeries. Content Briefly introduce the most commonly used methods for CBPB, and compare the difference of ultrasound guided and nerve stimulator guidedcontinuous brachial plexus block including the way of local anesthetic infusionand CBPB related complications. Trend CBPB is an ideal postoperative analgesia method for adult orthopedic surgeries, whether it can be widely used in pediatric patients are still unclear. Further research is needed.

Key words: brachial plexus ; anesthesia; Children; Analgesia ;peripheral nerve catheters