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Raquianestesia total após bloqueio do plexo lombar: relato de caso

机译:腰丛神经阻滞后全麻麻醉:病例报告

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Lumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total spinal block, an unusual complication. LPB with sciatic block was planned for a male patient, 76 years old, scheduled for total knee replacement due to gonarthrosis. The patient became unconscious after psoas compartment block with Chayen technique for LPB. The operation ended at 145th minute. The patient was admitted to intensive care unit until postoperative second day and discharged to home on fifth day of surgery. Main concern of patient monitorization should be an anesthesiologist. In this manner, we conclude that contacting to the patient should be ensured during these procedures.
机译:腰丛神经阻滞(LPB)是适合老年患者进行下肢手术的方法。在LPB期间可以看到许多并发症,但不如中央阻滞那么多。在本例报告中,我们旨在报告整个脊柱阻塞,这是一种不常见的并发症。计划对一名76岁的男性患者进行坐骨神经阻滞LPB的治疗,该患者计划因淋病而完全置换膝关节。患者使用Chayen技术进行LPB腰肌隔室阻塞后失去知觉。该操作在第145分钟结束。患者入院重症监护室直至术后第二天,并在手术第五天出院。患者监护的主要关注对象应该是麻醉师。通过这种方式,我们得出结论,在这些过程中应确保与患者接触。

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