PDF(Pubmed)
Abstract：
Training and expertise in regional anaesthesia have increased significantly in tandem with increased interest over the past two decades. This review outlines the most recent advances in regional anaesthesia and focuses on novel areas of interest including fascial plane blocks. Pharmacological advances in the form of the prolongation of drug duration with liposomal bupivacaine are considered. Neuromodulation in the context of regional anaesthesia is outlined as a potential future direction. The growing use of regional anaesthesia outside of the theatre environment and current thinking on managing the rebound plane after regional block regression are also discussed. Recent relevant evidence is summarised, unanswered questions are outlined, and priorities for ongoing investigation are suggested.
摘要：
在过去的二十年中，随着人们的兴趣增加，区域麻醉方面的培训和专业知识也大大增加。这篇综述概述了区域麻醉的最新进展，并着重于包括筋膜平面阻滞在内的新领域。考虑了脂质体布比卡因延长药物持续时间的药理学进展。区域麻醉背景下的神经调节被概述为潜在的未来方向。还讨论了在剧院环境之外越来越多地使用区域麻醉，以及在区域块回归后管理反弹平面的当前思路。总结了最近的相关证据，概述了未回答的问题，并建议了正在进行的调查的优先事项。
