https://scholars.lib.ntu.edu.tw/handle/123456789/202891
標題: | Ultrasound Imaging Aids Infraclavicular Brachial Plexus Block 以超音波造影術施行鎖骨下臂神經叢阻斷術 |
作者: | 吳宗正 林仙養 劉健強 張宏章 林昌誠 WU, TZONG-JENG LIN, SHIAN-YEANG LIU, CHIEN-CHIANG CHANG, HON-CHANG LIN, CHUNG-CHEN |
關鍵字: | 上臂神經叢;區域麻醉;麻醉學;BRACHIAL PLEXUS;REGIONAL ANESTHESIA;ANESTHESIOLOGY | 公開日期: | 九月-1993 | 卷: | v.31 | 期: | n.2 | 起(迄)頁: | 83-86 | 來源出版物: | Acta Anaesthesiologica Sinica | 摘要: | Infraclavicular approach to brachial plexus provides adequate anesthesia of the entire arm. Locall anesthetics can be deposited over cords and brnches of brachiall plexus above the formation of musculocutaneous and axillary nerves. The approach can also easily block ulnar segment of medial cord and intercostobrachial nerve,which helps preventing tourniquet pain. However,distance to the plexus is deeper than the other approaches so that current blind method using anatomical landmarks requires anesthesiologists' delicate manipulation and experience. Through ultrasonoraphy,the location of subclavian artery,as an anatomical landmarks,can be easily identified. It is then very easy and safe to perform infraclavicular brachial plexus block. Our new method showed 89%(n=9)successful rate. The time for the block was 4.2±1.5 min and there was an average of 3.2±0.6 needle penetrations. Thirty three percent(n=3) had subclavian artery been punctured without formation of hematoma clinically. No patient had clinical postoperative pneumothorax. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/130175 |
顯示於: | 醫學系 |
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