| Autor: |
S A, Beliakin, M S, Sinitsin, M I, Tsarev, A A, Azbarov, S I, Apevalov |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Voenno-meditsinskii zhurnal. 332(8) |
| ISSN: |
0026-9050 |
| Popis: |
To raise safety of conduction anesthesia of a humeral plexus by depression of cases of intraneural introduction of anesthetic on the basis of application of ultrasonic scanning during performance of blockade.137 blockade of a humeral plexus by axillary access are executed. Depending on a method of identification of nerves patients have been distributed on two groups: 1) identification of nerves by means of ultrasonic scanning (n=68); 2) a combination and ultrasonic scanning for identification of nerves (n=69).At a finding of a section of a needle in immediate proximity from a nerve (according to ultrasonic scanning) peripheral motor reaction was absent in 63,8% of cases. Intraneural introduction of a solution of local anesthetic was observed more often (p0,05) at identification (69,6%), than at ultrasonic identification of nerves (17,6%).Diffusion of local anesthetic observed by means of ultrasonic scanning confirms an exact site of an end of a needle that allows to avoid its intraneural introduction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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