关键词: Analgesia Anatomy Hip arthroscopy Nerve blocks Regional anesthesia

Mesh : Humans Arthroscopy / methods Anesthesia, Conduction / methods Nerve Block / methods Hip Joint / surgery diagnostic imaging Pain, Postoperative / prevention & control Ultrasonography, Interventional / methods Anesthetics, Local / administration & dosage

来  源:   DOI:10.1016/j.anclin.2023.11.015

Abstract:
Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed.
摘要:
髋关节镜检查后的疼痛可能很严重,然而,我们缺乏非麻醉镇痛的共识方法。在这里,我们描述了髋关节镜检查的解剖要素以及我们对相关感觉神经支配的当前理解,这是评估局部区域镇痛技术的前奏。回顾了许多区域神经阻滞和局部麻醉浸润技术,包括2个较新的超声筋膜平面块。进一步研究有针对性,节省马达的方法,需要超声引导或直接手术可视化。
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