关键词: Cadaver infraclavicular nerve block regional anaesthesia ultrasonography

来  源:   DOI:10.4103/joacp.JOACP_694_20   PDF(Pubmed)

Abstract:
UNASSIGNED: The parasagittal ultrasound-guided infraclavicular block (ICB) aims to cover all the elements of brachial plexus for the surgeries at and below the elbow. Our aim was to demonstrate the spread of 20 ml latex in vicinity of brachial plexus cords after injecting posterior to the axillary artery in Thiel embalmed cadavers.
UNASSIGNED: A blunt insulated needle was inserted posterior to the axillary artery in a traditional parasagittal infraclavicular in 2 Thiel embalmed cadavers, on both the sides (four specimens). A day later cadaver 1 was dissected and cadaver 2 was frozen at ‒20ºC for 2 weeks and sectioned. Both cadavers were photographed.
UNASSIGNED: In cadaver 1, dissection revealed a spread of red latex on the lateral cord extending onto the musculocutaneous nerve, the posterior cord engulfing the radial and axillary nerves distally. In cadaver 2, a cross-section revealed latex engulfed all three cords.
UNASSIGNED: Single injection of 20 ml latex aimed posterior to the axillary artery in the parasagittal infraclavicular approach engulfed the posterior, medial and lateral cord in Thiel embalmed cadavers. This needs to be investigated in patients who receive ICB clinically and using contrast studies.
摘要:
UNASSIGNED:矢状位超声引导的锁骨下阻滞(ICB)旨在覆盖肘部及其下方手术的臂丛神经的所有元素。我们的目的是证明在Thiel防腐尸体中,在腋下动脉后方注射后,臂丛神经束附近20ml乳胶的扩散。
UNASSIGNED:在2个Thiel防腐尸体的传统矢状旁下锁骨中,将钝性绝缘针插入到腋下动脉后方,在两侧(四个标本)。一天后,解剖尸体1,将尸体2在20ºC下冷冻2周并切片。两个尸体都被拍照了。
未经证实:在尸体1中,解剖显示在侧索上有红色乳胶扩散,延伸到肌皮神经,后索吞噬远侧的桡骨和腋窝神经。在尸体2中,横截面显示乳胶吞噬了所有三个帘线。
UNASSIGNED:在矢状位锁骨旁入路中,单次注射20ml乳胶瞄准腋下动脉后方,吞没了后部,泰尔防腐尸体的内侧和外侧索。这需要在临床上接受ICB并使用对比研究的患者中进行调查。
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