1、腹膜透析管放置术麻醉方法的选择可供选择的麻醉方法 表面麻醉 局部浸润麻醉 区域神经阻滞麻醉 全身麻醉可供选择的麻醉方法Topical anaesthesia局限性:止痛的深度只有23mm作用时间:45分钟-几小时Local infiltrationLocal infiltrationMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing
2、the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pa
3、in of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionMinimizing the pain of local anesthesia injectionLocal infiltrationLocal infiltrationLocal infiltrationLocal infiltration
4、Field Block-TAPField Block-TAPInnervation of abdominal wall Innervation of abdominal wall Ultrasound-Guided Transversus Abdomins Ultrasound-Guided Transversus Abdomins Plane BlockPlane BlockLateral cutaneous branchAnterior cutaneous branchUltrasound-Guided Transversus Abdomins Ultrasound-Guided Tran
5、sversus Abdomins Plane BlockPlane BlockN.spinalisPutz/Pabst:Sobotta.Atlas der Anatomie des Menschen,21.Aufl.Urban&Fischer,2000R.cutaneus lateralis R.cutaneus anterior TAB B.Rectus sheath B.Classical TAPSubcostal TAPRectus sheath BlockHebbard PD,J Can Anesth(2009)56:618620M.erector spinaeM.Quadratus lumborumRectus sheath B.TAP B.Rectus Rectus shealthshealth block blockTransversusTransversus abdominisabdominis plane block plane blockUltrasound-Guided Transversus Abdomins Plane BlockGeneral anesthesia