全麻剖宫产术治疗1例纤维肌痛孕妇

Naohito Kurahashi, Nobuyasu Komasawa, Junichi Ishio, Yuki Konishi, Shiho Deguchi, Toshiaki Minami
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引用次数: 0

摘要

我们报告一例34岁孕妇纤维肌痛(FM)谁接受剖宫产手术在全身麻醉。由于严重抑郁,患者正在服用度洛西汀和普瑞巴林治疗FM,同时服用几种抗抑郁药。为避免脊髓麻醉加重FM,我们决定全麻下行剖宫产术。在异丙酚和罗库溴铵诱导休克后,使用Pentax- AWS气道镜进行气管插管。程序顺利地完成了。术后患者行超声引导下腹部横平面阻滞,持续静脉输注芬太尼缓解疼痛。未见FM加重。
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[Cesarean Section under General Anesthesia in a Pregnant Woman with Fibromyalgia].

We report a case of a 34-year-old pregnant woman with fibromyalgia (FM) who underwent cesarean sec- tion under general anesthesia. The patient was taking duloxetine and pregabalin for FM, as well as several anti-depressants due to severe depression. To avoid the exacerbation of FM by spinal anesthesia, we decided to perform cesarean section under general anesthesia. After a crash induction with propofol and rocuronium, tracheal intubation was performed using the Pentax- AWS Airwayscopeo. The procedure was completed uneventfully. Postoperatively, the patient received an ultrasound-guided transverse abdominal plane block and a continuous intravenous fentanyl infusion to relieve pain. No FM exacerbation was noted.

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