神经阻滞口诀Thesecretofnerveblock.doc

神经阻滞口诀(The secret of nerve block)
The cervical plexus nerve block
A, anatomical
The cervical plexus branches are verydent often sees a stitch, learn anatomy and drill
Second,
Puncture needle, blood vessel, nerve block is more common,
The injection of the needle and blood is not injected, and the blood toxicity is added to the injection
Three,
Phrenic block is not rare, heavy breath has difficulty,
The two sides cannot be anesthetized, if the block is more dangerous,
Four,
The cervical plexus puncture is not too deep, the drug is not safe,
The larynx is anesthetized and the voice is hoarse
Five,
Horner sign, which is very common, the pupil shrinks to the present,
Conjunctival congestion, facial flushing without sweating,
The spread of the drug is difficult to measure, but it is a block of neck.
Do not deal with the self-elimination, careful observation is safer.
The plexus nerve block
Brachial plexus block, clinical use,
Generally, there are three kinds of approaches.
In the axillary supraclavicular, different kinds of manipulation,
The axillary way is easy to grasp and the puncture is fixed in the axillary top.
Let the patient have the military salute first, and the artery has a wave,
Pointing the needle into the artery, the needle is going around the path,
Look for a different feeling on both sides of the artery.
The artery comes down to inject medici