Purpose of Review

Peripheral nerve blocks are effective and safe modalities for perioperative analgesia. But it remains unclear what blocks are adequate for ambulatory surgeries, as well as the proper patient management before and after discharge.

Recent Findings

Emerging nerve blocks have sparked interests due to ease to perform under ultrasound guidance and lower risks of adverse events. Some of these novel blocks are particularly suitable for ambulatory procedures, including but not limited to motor-sparing lower extremity nerve blocks and phrenic-sparing nerve blocks for shoulder surgeries.

Summary

The adoption of peripheral nerve block into outpatient surgery is a multidisciplinary effort that encompasses appropriate patient choice, careful selection of nerve blocks that minimize potential adverse events after discharge, and proper patient follow-up until block effects resolve.

中文翻译：

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门诊外科手术的新型区域麻醉。

审查目的

周围神经阻滞是围手术期镇痛的有效和安全方式。但是，尚不清楚哪些块适合进行门诊手术，以及出院前后的适当患者管理。

最近的发现

新兴的神经阻滞由于在超声引导下易于操作和较低的不良事件风险而引起人们的兴趣。这些新颖的阻滞中的某些特别适合门诊手术，包括但不限于用于肩部手术的保留运动的下肢神经阻滞和保留的神经阻滞。

概要

门诊手术中采用周围神经阻滞是一项多学科的努力，包括适当的患者选择，谨慎选择神经阻滞以使出院后潜在的不良事件最小化，以及对患者进行适当的随访直至阻滞效果消失。