期刊文献+

导管插入方向对连续硬膜外麻醉老年患者感觉异常发生率的影响研究 被引量:1

原文传递
导出
摘要 硬膜外麻醉是将局麻药注入人体硬膜外腔,通过暂时性阻滞脊神经根使其支配区域产生麻痹作用,临床上主要用于泌尿外科和妇产科等腹部及以下的手术。在连续硬膜外麻醉导管插入过程中,患者很有可能出现感觉异常,进而增加不适感、惊跳及术后发生神经相关并发症的风险。研究显示,导管沿尾部方向插入,可能直接接触暴露的神经根或椎旁软组织,因此比沿头部方向插入时患者发生感觉异常的频率更高。
作者 苏利伟
出处 《实用老年医学》 CAS 2016年第9期777-779,共3页 Practical Geriatrics
  • 相关文献

参考文献15

  • 1Kang XH, Bao FP, Xiong XX, et al. Major complications of epidural anes- thesia: a prospective study of 5083 cases at a single hospital [ J ]. Acta Anaesthesiol Scand, 2014, 58 ( 7 ) : 858-866.
  • 2Maitra S, Baidya DK, Pawar DK, et al. Epidural anesthesia and analgesia in the neonate: a review of current evidences[ J]. J Anesth, 2014, 28 (5) : 768-779.
  • 3Ezhevskaya AA, Mlyavykh SG, An- derson DG. Effects of continuous epi-dural anesthesia and postoperative epidnral analgesia on pain management and stress response in patients undergoing major spinal sur- gery[J]. Spine, 2013, 38 (15): 1324-1330.
  • 4Chou WY, Hsu C J, Cheng JT, et al. Anesthetic effect of epidural anesthesia with cephalad or caudad catheterization for ankle surgery or hemorrhoidectomy [ J ]. Acta Anaes- thesiol Scand, 2005, 49 ( 5 ): 406-410.
  • 5Waurick K, Waurick R. History and technique of epidural anaesthesia [ J ]. Anasthesiol Intensivmed Not- fallmed Schmerzther, 2015, 50(7) : 476-482.
  • 6Kim SY, Kim YY, Kim AR. Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy [ J ]. Korean J Anesthesiol,2012, 62(3) : 251-255.
  • 7Toledano RD, Tsen LC. Epidural catheter design : history,innovations, and clinical implications [ J ]. Anesthesiology, 2014, 121 (1) :9-17.
  • 8肖颖琨,李天远,刘纳新,许立新,阮祥才,佘守章.不同类型腰-硬联合穿刺技术用于不同年龄妇科手术患者临床麻醉效应的比较[J].广东医学,2015,36(13):2029-2032. 被引量:7
  • 9Redick LF. Response to catheter in- sertion and incidence of paresthesias and failure rate in continuous epidural anesthesia[ Jl. Reg Anesth, 1994, 19(4) :295-296.
  • 10Asano M, Akatsuka M, Uda R, et al. Suspected migration of cervical epidural catheter into the hrainstem after a diffieuh catheter insertion [ J ]. J Anesth, 2014, 28(3) :447-451.

二级参考文献10

共引文献6

同被引文献16

引证文献1

二级引证文献51

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