Lebbi Mohamed Anis, Trabelsi Walid, Bousselmi Radhouane, Messaoudi Abdelhakim, Labbène Iheb, Ferjani Mustapha
Tunis Med. 2014 Feb;92(2):164-6.
We describe the case of 62-year-old man with a body mass index of 53, hypertension, diabetes mellitus and obstructive sleep apnea that was proposed for transurethral resection of prostate under spinal anesthesia. The surface landmark-guided approach was difficult and was abandoned after many unsuccessful attempts. Spinal anesthesia was achieved in one attempt with ultrasound guidance using the midline approach at the identified level. The trajectory was determined from the transducer angle.
我们描述了一名62岁男性患者的病例，其体重指数为53，患有高血压、糖尿病和阻塞性睡眠呼吸暂停，拟在脊髓麻醉下进行经尿道前列腺切除术。表面标志引导法操作困难，经过多次尝试均未成功后被放弃。在超声引导下，通过中线入路在确定的水平一次成功实施了脊髓麻醉。穿刺路径由探头角度确定。
