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连续腰丛阻滞联合连续骶旁阻滞及光棒引导插管用于强直性脊柱炎治疗

Continuous posterior lumbar plexus and continuous parasacral and intubation with lighted stylet for ankylosing spondylitis.

作者信息

Imbelloni Luiz Eduardo, Lucena Neli

机构信息

Faculty of Medicine of Botucatu, School of Medicine Nova Esperança, Anesthesiologist Complexo Hospitalar Mangabeira, Paraíba, Brazil.

Resident Physician from CET-SBA and the Complexo Hospitalar Mangabeira, João Pessoa, Paraíba, Brazil.

出版信息

Anesth Essays Res. 2015 Jan-Apr;9(1):98-100. doi: 10.4103/0259-1162.150146.

Abstract

Ankylosing spondylitis is characterized by progressive ossification of the spinal column with resultant stiffness. Ankylosing spondylitis can present significant challenges to the anaesthetist as a consequence of the potential difficult airway and performing neuraxial blockade. We describe a case of intubation with lighted stylet, and use of the continuous lumbosacral plexus for THA and postoperative analgesia with an elastomeric pump. Key words: Airways difficult anticipated, anesthesia, ankoylosing spondylitis, arthroplasty, conduction, continuous lumbosacral plexus, hip, infusion pumps, intubation awake, replacement.

摘要

强直性脊柱炎的特征是脊柱进行性骨化并导致僵硬。由于潜在的困难气道和实施神经轴阻滞,强直性脊柱炎会给麻醉医生带来重大挑战。我们描述了一例使用光棒插管的病例,以及在全髋关节置换术中使用连续腰骶丛阻滞并通过弹性泵进行术后镇痛的情况。关键词:预期困难气道、麻醉、强直性脊柱炎、关节成形术、传导、连续腰骶丛、髋关节、输液泵、清醒插管、置换

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0174/4383127/bf8557ac7dc9/AER-9-98-g001.jpg

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