Clinical application of ultrasound-guided selective proximal and distal brachial plexus block in rapid rehabilitation surgery for hand trauma

BACKGROUND Anesthesia plays an essential role in the successful surgical procedures for hand trauma.Compared with general anesthesia,brachial plexus block shows lots of benefits for the upper extremity.Specifically,ultrasound-guided selective proximal and distal brachial plexus block may overcome the issues of incomplete block and failure of anesthesia in such circumstances.The present study assessed the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in clinical practice.AIM To explore the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in rapid recovery surgery for hand trauma.METHODS A total of 68 patients with traumatic hand injuries treated at our hospital from January 2018 to June 2019 were selected.They were divided into an observation group and a control group with 34 patients in each group.The observation group underwent selective brachial plexus block guided by ultrasound and the control group underwent conventional brachial plexus block.The analgesic efficacy,intraoperative complications,wound healing time,and length of hospital stay were compared between the two groups under different anesthesia.RESULTS The percentage of cases with analgesia graded as“excellent or very good”was higher in the observation group than in the control group(P<0.05).Moreover,the incidence of intraoperative complications was lower and the wound healing time and length of hospital stay were shorter in the observation group than in the control group(P<0.05).CONCLUSION Ultrasound-guided selective proximal and distal brachial plexus block has remarkable analgesic efficacy in patients with traumatic hand injuries.It can reduce the incidence of intraoperative complications,promote wound healing,and shorten the length of hospital stay.

Application of ERAS Concept and Psychological Guidance in Nursing of Patients with Laparoscopic Urology

Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of urological surgical patients according to the nursing way, each 50 cases were divided into observation group and control group, and control group routine nursing, and the observation group implement rapid rehabilitation surgery concept in combination with psychological nursing, the comparison of two groups of patients with stress index, immune function, mental health, postoperative recovery index and the effect of complications. Results: There were statistically significant differences in stress index, immune function, mental health level, postoperative recovery index and complications between the observation group and the control group after psychological nursing (P Conclusion: The concept of rapid rehabilitation surgery combined with psychological nursing can help relieve psychological stress, restore immune function, reduce psychological pressure drop, speed up rehabilitation and reduce the incidence of postoperative complications in patients undergoing laparoscopic urologic surgery. Psychological nursing plays an adjunct role in laparoscopic urological surgery, so it is worth promoting.

Effect of acupuncture on short-term pain after standard thoracotomy

Background:To observe the effect of perioperative acupuncture on postoperative pain in patients undergoing standard sternotomy.Methods:57 patients who received standard median sternotomy were randomly divided into acupuncture group(30 cases)and control group(27 cases).The control group was treated with routine operation and nursing,and the acupuncture group was treated with acupuncture for 10 days on the basis of perioperative period.The pain levels of the two groups before and after operation were compared.Results:The pain level of the acupuncture group was significantly lower than that of the control group on the 2nd,10th,and 30th days after operation(P<0.05),and the short-term pain levels in the two groups were statistically significant(P<0.05).Conclusion:The perioperative acupuncture treatment has a significant analgesic effect on short-term pain for patients undergoing anterior midline thoracotomy,and it is helpful for patients to recover quickly after surgery.