医学
回廊的
麻醉
止痛药
局部麻醉
圣杯
全身麻醉
外科
计算机科学
万维网
作者
Kristof Nijs,Joke Ruette,Marc Van de Velde,Björn Stessel
标识
DOI:10.1016/j.bpa.2022.12.001
摘要
Regional anaesthesia (RA) has an important and ever-expanding role in ambulatory surgery. Specific practices vary depending on the preferences and resources of the anaesthesia team and hospital setting. It is used for various purposes, including as primary anaesthetic technique for surgery but also as postoperative analgesic modality. The limited duration of action of currently available local anaesthetics limits their application in postoperative pain control and enhanced recovery. The search for the holy grail of regional anaesthetics continues. Current evidence suggests that a peripheral nerve block performed with long-acting local anaesthetics in combination with intravenous or perineural dexamethasone gives the longest and most optimal sensory block. In this review, we outline some possible blocks for ambulatory surgery and additives to perform RA. Moreover, we give an update on local anaesthesia drugs and adjuvants, paediatric RA in ambulatory care and discuss the impact of RA by COVID-19.
科研通智能强力驱动
Strongly Powered by AbleSci AI