关键词: Clavicle Local anesthesia Operative Pain management Surgical procedures

Mesh : Humans Anesthesia, Local / methods Clavicle / surgery Visual Analog Scale Fractures, Bone / surgery Pain

来  源:   DOI:10.1016/j.injury.2022.11.063

Abstract:
Clavicle fractures are common fractures with a rate of 2-5 percent among fractures. Mid-shaft fractures of the clavicle are more common than the other sites of the clavicle. Traditionally, surgical fixation of clavicle fractures has been performed under General Anesthesia (GA). The purpose of this study was to assess the effects of WALANT on intraoperative bleeding, pain control during and after surgery, postoperative complications and patients\' function. In the current study, 30 patients with clavicle fractures were surgically fixed using the WALANT technique. The obtained results showed that it could be an effective technique for pain control during the operation and also early postoperative period. Moreover, the WALANT technique could be considered safe in patients who are at risk for GA because of medical comorbidities, cervical spine injuries, or other factors that make intubation difficult.
摘要:
锁骨骨折是常见的骨折,骨折率为2-5%。锁骨的中轴骨折比锁骨的其他部位更常见。传统上,锁骨骨折的手术固定已在全身麻醉(GA)下进行。这项研究的目的是评估WALANT对术中出血的影响,手术期间和手术后的疼痛控制,术后并发症和患者功能。在目前的研究中,使用WALANT技术对30例锁骨骨折患者进行手术固定。结果表明,它可能是术中和术后早期疼痛控制的有效技术。此外,WALANT技术在因医疗合并症而有GA风险的患者中被认为是安全的,颈椎损伤,或其他使插管困难的因素。
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