内收肌和坐骨神经外周神经导管治疗 Schatzker VI 胫骨平台骨折：病例报告。

IF 0.5 Q4 ANESTHESIOLOGY A&A practice Pub Date : 2024-07-22 eCollection Date: 2024-07-01 DOI:10.1213/XAA.0000000000001822

Anna F Roth, Shaun Medina, Camille G Fontaine, Elilary Montilla Medrano

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引用次数: 0

摘要

高速胫骨平台骨折通常避免使用外周神经阻滞，因为它会掩盖急性室间隔综合征（ACS）这一令人担忧的并发症所带来的麻痹和疼痛。我们介绍了一个病例，在该病例中利用低容量输液置入了坐骨神经和内收肌导管，以便进行神经血管评估。这些导管在这名 Schatzker VI 胫骨平台骨折患者的多模式止痛方案中发挥了重要作用。

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Adductor and Sciatic Peripheral Nerve Catheters for Schatzker VI Tibial Plateau Fracture: A Case Report.

Peripheral nerve blocks are typically avoided for high-speed tibial plateau fractures due to their ability to mask the paresthesias and pain associated with the feared complication of acute compartment syndrome (ACS). We present a case in which sciatic nerve and adductor canal catheters were placed utilizing low-volume infusions allowing for neurovascular assessment. These catheters served as a valuable portion of the multi-modal pain regimen in this patient with a Schatzker VI tibial plateau fracture.

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