Lower extremity regional anesthesia: essentials of our current understanding

被引：36

作者：

Tran, De Q. ^{[1
]}

Salinas, Francis V. ^{[2
]}

Benzon, Honorio T. ^{[3
]}

Neal, Joseph M. ^{[4
]}

机构：

[1] McGill Univ, Dept Anesthesiol, Montreal, PQ, Canada

[2] Swedish Med Ctr, Dept Anesthesiol, US Anesthesia Partners Washington, Seattle, WA USA

[3] Northwestern Univ, Dept Anesthesiol, Feinberg Sch Med, Chicago, IL 60611 USA

[4] Virginia Mason Med Ctr, Dept Anesthesiol, Seattle, WA 98101 USA

来源：

REGIONAL ANESTHESIA AND PAIN MEDICINE | 2019年 / 44卷 / 02期

关键词：

SCIATIC-NERVE BLOCK; TOTAL KNEE ARTHROPLASTY; LUMBAR PLEXUS BLOCK; ADDUCTOR CANAL BLOCK; PSOAS COMPARTMENT BLOCK; FEMORAL CUTANEOUS NERVE; LOCAL INFILTRATION ANALGESIA; TOTAL-HIP-ARTHROPLASTY; RANDOMIZED CONTROLLED-TRIAL; POSTOPERATIVE PAIN-CONTROL;

D O I：

10.1136/rapm-2018-000019

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The advent of ultrasound guidance has led to a renewed interest in regional anesthesia of the lower limb. In keeping with the American Society of Regional Anesthesia and Pain Medicine's ongoing commitment to provide intensive evidence-based education, this article presents a complete update of the 2005 comprehensive review on lower extremity peripheral nerve blocks. The current review article strives to (1) summarize the pertinent anatomy of the lumbar and sacral plexuses, (2) discuss the optimal approaches and techniques for lower limb regional anesthesia, (3) present evidence to guide the selection of pharmacological agents and adjuvants, (4) describe potential complications associated with lower extremity nerve blocks, and (5) identify informational gaps pertaining to outcomes, which warrant further investigation.

引用

页码：143 / 180

页数：38

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