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논문KCI 등재

초음파 유도 좌골 신경 도관 삽입에 의한 수술 후 통증 조절-술기 보고-

Postoperative Pain Control by Ultrasound-Guided Sciatic Nerve Catheterization - A Technical Note -

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Intravenous Patient Controlled Analgesia (IV PCA) after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

Abstract

Intravenous Patient Controlled Analgesia (IV PCA) after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

참고문헌 (6)

  1. Mahoney OM, "The effect of continuous epidural analgesia on postoperative pain, rehabilitation, and duration of hospitalization in total knee arthroplasty", Clin Orthop Relat Res, 260, pp.30~37 (1990)
  2. McCutcheon R, "Regional anaesthesia for the foot", Can Anaesth Soc J, 12, pp.465~474 (1965)
  3. Myerson MS, "Regional anesthesia for foot and ankle surgery", Foot Ankle, 13, pp.282~288 (1992)
  4. Hong D, "The side effects of morphine and hydromorphone patient-controlled analgesia", Anesth Analg, 107, pp.1384~1389 (2008)
  5. Elliot R, "Continuous infusion versus single bolus popliteal block following major ankle and hindfoot surgery: a prospective, randomized trial", Foot Ankle Int, 31, pp.1043~1047 (2010)
  6. Navas AM, "Continuous peripheral nerve blockade in lower extremity surgery", Acta Anaesthesiol Scand, 49, pp.1048~1055 (2005)

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