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Perioperative Pain Management Using Regional Nerve Blockades in Shoulder Surgery: Ultrasound-Guided Intervention
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¿ÀÁÖÇÑ(Oh Joo-Han) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
ÀÌ¿¹Çö(Lee Ye-Hyun) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¹ÚÇغÀ(Park Hae-Bong) - ¼¿ï´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
°ß°üÀý ¼ö¼úÀ» À§ÇÑ ¸¶Ãë¿Í ¼ö¼ú ÈÄ ÅëÁõ Á¶ÀýÀ» À§ÇØ Àû¿ëµÉ ¼ö ÀÖ´Â ±¹¼Ò ½Å°æ Â÷´Ü¼ú¿¡´Â »ç°¢±Ù°£ ½Å°æ Â÷´Ü¼ú, »ó °ß°© ½Å°æ Â÷´Ü¼ú, 5¹ø °æÃß ½Å°æ±Ù Â÷´Ü¼ú ¹× ¾×¿Í ½Å°æ Â÷´Ü¼ú µîÀÌ ÀÖÀ» ¼ö ÀÖ´Ù. ±¹¼Ò ½Å°æ Â÷´Ü¼úÀº ÅëÁõ Á¶Àý È¿ °ú´Â ¶Ù¾î³ °ÍÀ¸·Î º¸°íµÇ°í ÀÖÀ¸³ª Ⱦ°Ý ½Å°æ ¸¶ºñ, ±âÈä, ½Å°æ ¼Õ»ó µîÀÇ ºÎÀÛ¿ëÀÌ ´Ù¼ö º¸°íµÇ¸ç ±× ½ÇÆÐÀ²µµ »ó´ç ÇÏ¿©, ºÎÀÛ¿ëÀ» ÃÖ¼ÒÈÇÏ°í ¼º°ø·üÀ» ³ôÀ̱â À§ÇÑ ³ë·ÂÀ¸·Î ÃÊÀ½ÆÄ À¯µµÇÏ ÁßÀç¼úÀÌ »ç¿ëµÇ°í ÀÖ´Ù. ÀúÀÚµéÀº ÀÌ¿Í °ü·Ã µÈ ÇغÎÇÐÀû ±âÃÊ¿Í ÃÊÀ½Æĸ¦ ÀÌ¿ëÇÑ ±¹¼Ò ½Å°æ Â÷´Ü ¼ú±â µî¿¡ ´ëÇÏ¿© ±â¼úÇÏ°íÀÚ ÇÑ´Ù.
There are several kinds of regional nerve blockades, such as interscalene brachial plexus block, C5 root block, suprascapular nerve block, and axillary nerve block, which can be applied for anesthesia and postoperative pain control after shoulder surgeries. These regional nerve blockades have shown good results, but high failure rate and serious complications, such as phrenic nerve palsy, pneumothorax, and nerve injury, still remain. Ultrasound-guided intervention can increase the success rate of nerve blockades and reduce complications. We described the method of ultrasound-guided intervention for the regional nerve blockades around shoulder.
Å°¿öµå
Ultrasound-guided intervention, Regional nerve blockades, Shoulder surgery, Interscalene brachial plexus block, C5 root block, Suprascapular nerve block, Axillary nerve block
KMID :
1195520140070010067
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