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。
Blocks | Nerve 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 |
Axillary | Terminal branches of brachial plexus | Fractures about the Wrist (i.e. distal radius fractures) Fractures about the Hand |
LE blocks | ||
Fascia Iliaca | Femoral nerve Lateral femoral cutaneous Obturator nerve | Fractures about the hip |
Femoral Nerve Block | Femoral nerve | Fractures about the hip Femur fractures Peri-articular fractures about the knee |
Sciatic Nerve Block | Motor 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 Block | Motor 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 foot | Fractures about the ankle Fractures about the foot |
IPACK | Articular branches of the obturator and tibial nerves | Peri-articular fractures about the knee |
以下為全文連結