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[在一名患有McCune-Albright综合征的患者中,根据Weber方法采用血管周围腋窝麻醉进行肱骨矫正截骨术]

[Corrective osteotomy of the humerus using perivascular axillary anesthesia according to Weber in a patient suffering from McCune-Albright syndrome].

作者信息

Bullmann V, Waurick R, Rödl R, Hülskamp G, Orlowski O, van Aken H, Winkelmann W, Weber T P

机构信息

Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum, Albert Schweitzer Strasse 33, 48149 Münster, Germany.

出版信息

Anaesthesist. 2005 Sep;54(9):889-94. doi: 10.1007/s00101-005-0874-6.

Abstract

We report on a 20-year-old patient with McCune-Albright syndrome suffering from global respiratory insufficiency who required continuous mask ventilation and where intubation had to be avoided. Perivascular axillary anesthesia according to Weber was performed for a double corrective osteotomy of the humerus. During plexus anesthesia the patient was positioned on the non-anesthesized side in a 15 degrees Trendelenburg position. An extension of analgesia was observed up to the complete upper arm region. Using the modified positioning an extension of brachial plexus anesthesia is possible.

摘要

我们报告了一名20岁患有麦库恩-奥尔布赖特综合征的患者,该患者存在全身呼吸功能不全,需要持续面罩通气且必须避免插管。对其肱骨进行双矫正截骨术时,按照韦伯法实施了血管周围腋窝麻醉。在神经丛麻醉期间,患者以15度头低脚高位置于未麻醉侧。观察到镇痛范围扩展至整个上臂区域。采用改良体位可实现臂丛神经麻醉范围的扩展。

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