کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2748424 1149189 2014 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Supraclavicular and paravertebral blocks: Are we underutilizing these regional techniques in perioperative analgesia?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Supraclavicular and paravertebral blocks: Are we underutilizing these regional techniques in perioperative analgesia?
چکیده انگلیسی

There has been a renewed interest in supraclavicular and paravertebral blocks for regional anesthesia. Studies have shown a high block success rate with the supraclavicular approach to the brachial plexus. Despite the use of ultrasound, pleural puncture and pneumothorax may still occur. The supraclavicular block is associated with a higher incidence of phrenic nerve paralysis and caution should be exercised in patients with respiratory difficulties. Paravertebral blocks have been used successfully to provide analgesia and anesthesia for a variety of surgical procedures. When compared to thoracic epidural blockade for thoracic surgery, paravertebral blockade provides comparable analgesia with a better preservation of pulmonary function and a lower incidence of hypotension. This brings forth the question as to whether paravertebral blocks have replaced epidural blockade as the gold standard in perioperative pain management for thoracoabdominal procedures.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Best Practice & Research Clinical Anaesthesiology - Volume 28, Issue 2, June 2014, Pages 127–138
نویسندگان
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