神经刺激器引导锁骨下臂丛阻滞几点思考.pptxVIP

神经刺激器引导锁骨下臂丛阻滞 几点思考传统臂神经丛阻滞盲区锁骨下入路的体表标志v旧：肩峰腹侧突与颈静脉 窝间的中线上缺点：气胸喙突入路：喙突内下2cm锁骨喙突穿刺点解剖基础AnatomyWe recviewed the magnetc resonance images of the brachial plexus from 20 male and 20 female patients.Form the point,we determined simulated needle direction to contact the neuro vascular bundle and measured depth.2cm caudad to the coracoid processJack L.Wilson, David I.Brown, Gilbert Y.Wong, et al.Infraclavicular brachial plexus block:parasagittal anatomy important to coracoid technique[J].Anesth Analg, 1998, 87 (4) : 870-873.Gtakvicle-rraih aAx4taryMRt ScoutA = CsudBd Inn^marfe appccoumaeion c 2 cm)B