Coffman John C, Fiorini Kasey, Cook Meghan, Small Robert H
Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Case Rep Anesthesiol. 2016;2016:3064373. doi: 10.1155/2016/3064373. Epub 2016 Jul 31.
High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient that remained hemodynamically stable and had the preserved ability to initiate breaths despite sensory blockade up to C2. The presence of differential motor and sensory block documented in this case helped enable the patient to be managed with noninvasive ventilatory support until the high blockade regressed and we are not aware of any other similar reports in literature.
高位椎管内阻滞是产科患者的一种严重并发症，需要迅速识别和处理，以优化患者的治疗结局。在高位神经阻滞的情况下，患者可能会出现严重低血压、呼吸困难、躁动、说话困难或无法说话，甚至意识丧失。我们报告了一例产科患者的特殊表现，尽管感觉阻滞平面高达C2，但患者血流动力学稳定，仍保留自主呼吸能力。该病例中记录的运动和感觉阻滞差异有助于对患者进行无创通气支持治疗，直至高位阻滞消退，我们尚未在文献中发现任何其他类似报告。
