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METHOD OF BRACHIAL PLEXUS BLOCK

机译:臂丛神经阻滞方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to anesthesiology, traumatology and orthopaedics, and can be used for anaesthesia supporting upper extremity surgeries. That is ensured by Tuohy needle puncture in a cross point of a bisector generated by an axis of a clavicle and a straight line connecting a mastoid and a sternoclavicular junction and a perpendicular drawn from a border of a middle and distal one third of the clavicle. After the puncture, the Tuohy needle is moved further 2.5-3 cm by the subcutaneous fat in a proximal direction strictly by the bisector, fixed at an angle 40-45° to a frontal plane of a patient and perpendicularly to an axis of a cervical spine. Further, the needle is advanced to contractions with the use of an electrical stimulator. After a negative aspirating test and a test dose of an anesthetic drug, a principal dose of the anesthetic drug is introduced with damping contractions. Then a catheter is inserted through the needle, while the needle is removed, and the catheter is fixed to skin in an exit point.;EFFECT: way enables adequate perioperative anaesthesia, as well as postoperative prolongation thereof with simultaneous reduction of lung injury risk.;1 ex
机译:技术领域:药物:发明是指医学,即麻醉学,创伤学和骨科,可用于支持上肢手术的麻醉。这是通过Tuohy针穿刺在由锁骨轴线和连接乳突和锁骨交界的直线以及从锁骨中部和远端三分之一的边界绘制的垂线生成的等分线的交叉点中进行的穿刺确保的。穿刺后,Tuohy针由皮下脂肪沿平分线严格沿近端方向进一步移动2.5-3 cm,并固定在与患者额平面成40-45°角且垂直于子宫颈轴的位置脊柱。此外,通过使用电刺激器使针前进至收缩。在负吸气测试和麻醉药物的测试剂量之后,以阻尼收缩的方式引入主剂量的麻醉药物。然后,将一根导管插入针头,拔出针头,然后将导管固定在出口处的皮肤上。效果:该方法可进行足够的围手术期麻醉,并延长术后时间,同时降低肺部受伤的风险。 ; 1前

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