超低剂量等比重布比卡因与鞘内吗啡-芬太尼脊髓麻醉用于近期心肌梗死和经皮冠状动脉介入治疗的老年双侧下肢手术。

IF 1.5 Q3 ANESTHESIOLOGY Local and Regional Anesthesia Pub Date : 2021-01-22 eCollection Date: 2021-01-01 DOI:10.2147/LRA.S287975
Ambrose Rukewe, Linea Nanyalo-Nashima, Nicola Olivier
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引用次数: 1

摘要

近期,一位老年女性患者同时行双侧下肢手术,并发下段st段抬高型心肌梗死和经皮冠状动脉介入治疗,再次梗死和死亡的风险显著。我们的第一例患者需要左腿膝盖以上截肢,以防止感染/坏疽进展,并应用背板对右股骨骨折进行保守治疗。我们采用超低剂量0.5%等压布比卡因4 mg脊柱注射,吗啡75 mcg加芬太尼10 mcg,为根治性截肢提供了充分的麻醉,术后镇痛有效,血流动力学稳定性好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Spinal Anesthesia Using Ultra-Low-Dose Isobaric Bupivacaine with Intrathecal Morphine-Fentanyl for Bilateral Low Extremity Procedures in a Geriatric Patient with Recent Myocardial Infarction and Percutaneous Coronary Intervention.

A recent inferior ST-elevation myocardial infarction and percutaneous coronary intervention in an elderly female patient scheduled for bilateral lower extremity operations simultaneously represent significant risks for re-infarction and mortality. Our index patient required an above-knee amputation of the left leg to prevent infection/progressing gangrene as well as application of a back-slab for the conservative management of a fractured right femur. We employed spinal injection of ultra-low-dose 0.5% isobaric bupivacaine 4 mg with morphine 75 mcg plus fentanyl 10 mcg which provided adequate anesthesia for radical amputation, effective postoperative analgesia and good hemodynamic stability.

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CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
期刊最新文献
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