视神经脊髓炎:麻醉挑战

IF 0.2 Q4 ANESTHESIOLOGY Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI:10.4103/TheIAForum.TheIAForum_135_20
Kalyani Rapeti, B. Paliwal, Ankur Sharma, M. Kamal, P. Bhatia
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引用次数: 0

摘要

视神经脊髓炎(NMO)是一种罕见的破坏性脱髓鞘综合征,涉及视神经炎和脊髓炎,对麻醉师来说是一个挑战。在这里,我们介绍了一例诊断为NMO的全髋关节置换术的麻醉处理。尽管文献记录了全身麻醉(GA)和脊髓麻醉(SA)的不良结果,SA更是如此,但如果益处大于GA的风险,则应始终予以考虑。前两次手术中平稳的围手术期有利于SA连续第三次作为麻醉技术,在这种情况下,恢复顺利。
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Neuromyelitis optica: An anesthetic challenge
Neuromyelitis optica (NMO), a rare devastating demyelinating syndrome involving optic neuritis and myelitis, poses a challenge to anesthesiologists. Here, we present the anesthetic management of a diagnosed case of NMO posted for total hip replacement. Although literature documenting adverse outcomes with both general anesthesia (GA) and spinal anesthesia (SA), more so with SA, it should always be considered if benefits outweigh the risk of GA. An uneventful perioperative period in the previous two surgeries favored SA as an anesthetic technique for consecutively third time in this case with smooth recovery.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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0.00%
发文量
17
审稿时长
6 weeks
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