Regional anesthesia for acute and subacute orthopedic trauma: A review

2022年在Health Sciences Review的這篇文章,
簡要的介給了多種肢體端的神經阻斷術,
對於急診常見肢體創傷的急性疼痛處置提供了很棒的整理和介紹,
由於文中的表格不易閱讀,
我將文中的阻斷技術、對應的目標和臨床情境微調為較易閱讀的格式。

Sites of Regional Blocks of the Upper Extremity.
Sites of Regional Blocks of the Lower Extremity
BlocksNerve Distribution Coverage Fractures
UE blocks
Interscalene
Suprascapular nerve
Supraclavicular nerve
C5–7 nerve roots
Proximal humerus fractures
Clavicle fractures
Supraclavicular
C5-T1 nerves –
targets brachial plexus divisions
Fractures of the humerus
Fractures about the elbow
Forearm fractures
Fractures about the wrist (i.e. distal radius fractures)
Fractures about the hand
Infraclavicular
C5-T1 nerves –
targets brachial plexus cords
Midshaft and distal humerus fractures
Fractures about the elbow
Forearm fractures
Fractures about the wrist (i.e. distal radius fractures)
Fractures about the hand
AxillaryTerminal branches of brachial plexusFractures about the Wrist (i.e. distal radius fractures)
Fractures about the Hand
LE blocks
Fascia IliacaFemoral nerve
Lateral femoral cutaneous
Obturator nerve
Fractures about the hip
Femoral Nerve BlockFemoral nerveFractures about the hip
Femur fractures
Peri-articular fractures about the knee
Sciatic Nerve BlockMotor and sensory innervation to posterior aspect of knee, hamstrings and entire leg below knee (except medial lower leg and foot)Tibia fractures
Fractures about the ankle
Fractures about the foot
Popliteal Sciatic Nerve BlockMotor and sensory innervation to lower limb below the knee (except medial lower leg and foot)Fractures about the ankle
Fractures about the foot
Saphenous Nerve block
(Adductor canal block)
Sensory innervation to medial leg and footFractures about the ankle
Fractures about the foot
IPACKArticular branches of the obturator and tibial nervesPeri-articular fractures about the knee

以下為全文連結

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