期刊文献+

连续腰麻的应用研究与并发症 被引量:4

原文传递
导出
摘要 连续腰麻(CSA)操作简便,阻滞效果确切,适用于会阴、下肢及下腹部手术的麻醉。其对心血管和呼吸系统的影响甚小,比其他椎管内麻醉以及全身麻醉更有利于维持患者术中生命体征平稳和术后恢复,尤其是在老年和高危患者。与单次腰麻(SSA)和连续腰-硬联合麻醉(CSEA)一样,CSA也有相关并发症,如脊麻后头痛、马尾综合征和感染等;但随着CSA技术的不断改进,只要操作规范、用药合理,CSA可以安全地应用于低位手术患者的麻醉和术后镇痛。
作者 王华
出处 《江苏医药》 CAS CSCD 北大核心 2012年第15期1817-1819,共3页 Jiangsu Medical Journal
  • 相关文献

参考文献20

  • 1Favarel-Garrigues JF, Sztark F, Petitjean ME, et al. Hemodynamic effects of spinal anesthesia in the elderly: single dose versus titration through a catheter[J]. Anesth Analg, 1996,82(2) : 312-316.
  • 2Dohler S, Klippel, Richter S. Continous spinal anesthesia in very elderly patients with high anesthesia risk in traumatologic-orthopedic and general surgery interventions [J].Anesthesiology, 1999,24(6) : 157-163.
  • 3Klimscha W, Weinstable C, Llias W, et al. Continous spinal anesthesia with a microcatheter and low-dose bupivacaine decreases the hemodynamic effects of centroneuraxis block in elderly patients[J]. Anesth Analg,1993,77(2):275-280.
  • 4Biboulet P, Deschodt J, Aubas P, et al. Continous spinal anesthesia: dose low-dose plain or hyperbaric bupivacaine allow the performance of hip surgery in the elderly[J]. Reg Anesth, 1993,18(3) : 170-175.
  • 5Bayhi D, Cork RC, Heaton JF, et al. Prospective survey of continuous versus single-injection spinal anesthesia in obstetrics[J]. South Med J, 1995,88(10) : 1043-1048.
  • 6Wilhelm S, Standl T, Burmeister M, et al. Comparison of continuous spinal with combined spinal-epidural anesthesia using plain bupivacaine 0. 5% in trauma patients[J]. Anesth Analg, 1997,85 (1) : 69-74.
  • 7MOllmann M, Cord S, Hoist D, et al. Continuous spinal anaesthesia or continuous epidural anaesthesia for post- operative pain control after hip replacement [J ]. Eur J Anaesthesiol, 1999,16 (7) : 454-461.
  • 8Niemi L,Pitknen M, Tuominen M, et al. Technical problems and side effects associated with continuous intrathecal or epidural post-operative analgesia in patients undergoing hip arthroplasty[J]. Eur J Anaesthesiol, 1994,11 (6) : 469-474.
  • 9Gurlit S, Reinhardt S, M611mann M. Continuous spinal analgesia or opioid-added continuous epidural analgesia for postoperative pain control after hip replacement [J]. Eur J Anaesthesiol, 2004,21 (9) : 708-714.
  • 10杨承祥,李恒,章绵华,梁幸甜.Spinocath导管针用于老年病人连续腰麻及术后镇痛的临床效果[J].中华麻醉学杂志,2002,22(8):465-467. 被引量:24

二级参考文献16

  • 1Whitehead E, Arrigoni B, Bannister J. An open study in extradural anaesthesia[J]. British J Anaesthesia, 1990,64(1):67-71.
  • 2Rigler ML, Drasner K, Krejcie TC, et al. Cauda equina syndrome after continuous spinal anesthesia[J]. Anesth Analg, 1991,72(3):275-281.
  • 3Malinovsky JM, Charles F, Baudrimont M, et al. Intrathecal ropivacaine in rabbits: pharmacodynamic and neurotoxicologic study[J]. Anesthesiology, 2002,97(2):429-435.
  • 4Gautier PE, De Kock M, Van Steenberge A, et al. Intrathecal ropivacaine for ambulatory surgery[J]. Anesthesiology, 1999,91(5): 1239-1245.
  • 5Levin A, Datta S, Camann WR. Intrathecal ropivacaine for labor analgesia: A comparison with bupivacaine[J]. Anesth Analg, 1998,87(3):624-627.
  • 6Albright GA. The safety and efficacy of combined spinal and epidural analgesia/anesthesia (6,002 blocks) in a community hospital[J]. Reg Anesth Pain Med, 1999,24(2):117-125.
  • 7Yaksh TL, Rudy TA. Chronic catheterization of the spinal subarachnoid space[J]. Physid Behav, 1976,17(6):1031-1036.
  • 8Khaw Ks, Ngan Kee WD, Wong EL,et al.Spinal ropivacaine for cesarean section:a dose-finding study[J]. Anesthesiology, 2001,95(6):1346-1350.
  • 9Van Kleef JW,Veering BT, Burm AG. Spinal anesthesia with ropivacaine:A double blind study on the efficacy and safety of 0.5% and 0.75% solution in patients undergoing minor lower limb surgery[J]. Anesth Analg, 1994,78(6):1125-1130.
  • 10Malinovsky JM, Bernard JM, Baudrimont M, et al. A chronic model for experimental investigation of epidural anesthesia in the rabbit[J]. Reg Anesth, 1997,22(1):80-85.

共引文献32

同被引文献25

引证文献4

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部