[术后使用硬膜外置管进行手术的并发症]。

IF 1.9 Q2 POLITICAL SCIENCE Regional-Anaesthesie Pub Date : 1990-03-01
M G Rockemann, W Seeling
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引用次数: 0

摘要

本文报告2例腰椎硬膜外导管继发性蛛网膜下脱位。放置第一根导管,检测后注射20ml局麻药,使术中麻醉达到T4水平。术后第2天试验剂量产生下肢瘫痪;酒现在可以吸入了。第二根导管经针入局麻药15ml后立即插入硬膜外腔。使用该导管进行术后镇痛导致全脊髓麻醉,尽管在注射7 ml局麻药之前有阴性抽吸和试验剂量。本文讨论了这两种情况对置管程序的影响,以及在置管前一段时间重新使用期间的监测。
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[Complications of the postoperative use of lumbar epidural catheters in place for surgery].

Two cases of secondary subarachnoidal dislocation of lumbar epidural catheters are reported. The first catheter was placed, tested, and injected with 20 ml local anesthetic in order to achieve intraoperative anesthesia up to the T4 level. On the 2nd postoperative day the test dose produced paralysis of the lower extremities; liquor now could be aspirated. The second catheter had been introduced into the epidural space immediately after injection of 15 ml local anesthetic through the needle. Use of this catheter for postoperative analgesia led to total spinal anesthesia in spite of negative aspiration and test dose prior to injection of 7 ml local anesthetic. Implications of these two cases concerning placement procedures and monitoring during reuse of catheters placed some time before are discussed.

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CiteScore
3.50
自引率
0.00%
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[An epidural spinal abscess as a lethal complication of peridural anesthesia]. [Knotting of a peridural catheter]. [A simple technique for estimating the level of analgesia in regional anesthesia]. [CSE--the combination of spinal and epidural anesthesia]. [Comments on the paper by R. Schürg et al. Maternal and neonatal plasma concentrations of bupivacaine during peridural anesthesia for cesarean section].
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