[蛛网膜外硬膜下注射,硬膜外麻醉事故]。

E Cardan, A Azzam, M Simu
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引用次数: 0

摘要

本文介绍了两个病例,硬膜外麻醉事故,整个脑干麻醉,肋间肌麻痹,上肢麻痹,呼吸暂停和肺缩小,后来发展表明麻醉效果的延伸远远高于考虑手术技术细节的预期。另一方面,由于患者未出现任何持续性昏迷、极度鼻窦炎和严重的动脉低血压,以及麻醉的附加效应消退相对较快,排除了全臂麻醉的可能性,可以得出结论,在蛛网膜外硬膜下间隙意外注射了麻醉剂。
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[Extra-arachnoid subdural injection, an accident of peridural anesthesia].

Two cases are presented, with accidents of peridural anesthesia, Anesthesia of the entire brain stem, paralysis of the intercostal muscles, and of the upper limbs, apnoea and miosis that developed later indicate an extension of the anesthetic effects far higher that it could have been expected considering the technical details of the procedure. On the other hand the absence of any durable coma, of extreme mydriasis, and of severe arterial hypotension, as well as the relatively rapid retrocession of the additional effects of the administration of an anesthetic exclude the possibility of total rachianesthesia, and it can be concluded that there was an accidental injection of anesthetic in the extra-arachnoid subdural space.

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