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광범위 당뇨병성 족부 및 하퇴부 궤양의 피부이식술에 사용된 초음파 유도 신경 차단: 술기 보고

Ultrasound-guided Nerve Block for Skin Grafting on Large Diabetic Ulcer of Foot and Leg: A Technical Report

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초록

Skin grafting is often required for diabetic ulcerative foot lesions. In skin grafting, effective regional or local anesthesia into the donor and recipient areas plays a significant role in continuous control of pain. We report on a technique of ultrasound-guided nerve block on the femoral, sciatic, and lateral femoral cutaneous nerves in large split-thickness skin grafting for ulcer of the foot and leg.

Abstract

Skin grafting is often required for diabetic ulcerative foot lesions. In skin grafting, effective regional or local anesthesia into the donor and recipient areas plays a significant role in continuous control of pain. We report on a technique of ultrasound-guided nerve block on the femoral, sciatic, and lateral femoral cutaneous nerves in large split-thickness skin grafting for ulcer of the foot and leg.

참고문헌 (10)

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  2. Wardrop PJ, "Lateral cutaneous nerve of the thigh blockade as primary anaesthesia for harvesting skin grafts", Br J Plast Surg, 48, pp.597~600 (1995)
  3. Ramaswamy CN, "Topical lignocaine gel on skin graft donor sites", Br J Plast Surg, 44, pp.157~ (1991)
  4. Gupta A, "A study of regional nerve blocks and local anesthetic creams(Prilox)for donor sites in burn patients", Burns, 33, pp.87~91 (2007)
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  7. Cuignet O, "The efficacy of continuous fascia iliaca compartment block for pain management in burn patients undergoing skin grafting procedures", Anesth Analg, 98, pp.1077~1081 (2004)
  8. Shannon J, "Lateral femoral cutaneous nerve block revisited. A nerve stimulator technique", Reg Anesth, 20, pp.100~104 (1995)
  9. Marhofer P, "Ultrasound guidance in regional anaesthesia", Br J Anaesth, 94, pp.7~17 (2005)
  10. 강찬, "족관절 골절 수술을 위한 정형외과 의사의 초음파 유도 대퇴좌골 신경 차단", 대한족부족관절학회지, 14(1), pp.90~96 (2010), 대한족부족관절학회

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