Bullmann V, Waurick R, Rödl R, Hülskamp G, Orlowski O, van Aken H, Winkelmann W, Weber T P
Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum, Albert Schweitzer Strasse 33, 48149 Münster, Germany.
Anaesthesist. 2005 Sep;54(9):889-94. doi: 10.1007/s00101-005-0874-6.
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.
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。
