神经刺激仪引导下小儿臂丛神经阻滞麻醉的护理

Nursing Care of Children Undergoing Brachial Plexus Blocking Anesthesia by Nervous Stimulator Apparatus

总结208例神经刺激仪引导下小儿臂丛神经阻滞麻醉的护理经验。熟悉神经刺激仪引导下的神经阻滞引发的肢体反应及麻醉后的负反应及并发症的I临床表现．麻醉前加强患儿的心理护理，麻醉时积极配合医生操作，麻醉后密切观察患者生命体征变化，发现异常及时处理。本组有5例出现霍纳氏综合征，无特殊处理逐渐恢复；2例出现血肿，经处理后好转，其余无发生并发症，麻醉效果满意。

To summarize 208 cases,the nursing experience about brachial plexus blocking anesthesia guided by nervous stimulator apparatus. The nerve stimulator guided brachial plexus block will cause some physical reactions and the negative effects after anesthesia and clinical manifestations of the complications, with which we are familiar. Before anesthesia, children＇s psychological care should be enhanced; During anesthesia, the doctors＂ operation should be actively cooperated with; After anesthesia, the patient＇s vital signs changes should be closely observed, and the abnormals be timely treated. Of the 5 eases present itself Homer＇s syndrome, 2 cases present hematoma, no other complications, so the anesthetic effects are satisfactory.