Rodríguez-Navarro M Á, Díaz-Alejo C, Padilla-Del Rey M L, Alcaraz A B, González-Pérez P, Benítez M
Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
Rev Esp Anestesiol Reanim. 2017 Nov;64(9):533-536. doi: 10.1016/j.redar.2017.03.003. Epub 2017 Apr 5.
Intrathecal injection of fluorescein is a method for repairing cerebrospinal fluid fistulas. The most frequent surgical procedure is endonasal endoscopy and the purpose of injecting this dye is to locate the fistula. The anaesthesiologists usually perform the puncture, therefore it is necessary to review this method and to specify some anaesthetic considerations such as correct dosing, safe management protocols and medical-legal aspects. In this case-report we describe the pre, intra and postoperative protocol of action implemented in our department that basically consists of: obtaining a specific consent, prior neurological/ophthalmologic assessment to rule out hypertension and brain damage, use of corticosteroids and previous antihistamines, choosing the correct dose and concentration of intrathecal sodium fluorescein (maximum 1ml at a concentration of 5% diluted in 9ml of cerebrospinal fluid) and close intra and postoperative monitoring.
鞘内注射荧光素是一种修复脑脊液瘘的方法。最常见的外科手术是鼻内镜手术，注射这种染料的目的是定位瘘口。通常由麻醉医生进行穿刺，因此有必要回顾这种方法并明确一些麻醉相关的注意事项，如正确的剂量、安全的管理方案以及医疗法律方面的问题。在本病例报告中，我们描述了我们科室实施的术前、术中和术后的行动方案，该方案主要包括：获得特定的知情同意书、术前进行神经科/眼科评估以排除高血压和脑损伤、使用皮质类固醇和先前的抗组胺药、选择正确的鞘内注射荧光素钠的剂量和浓度（在9毫升脑脊液中稀释成5%的浓度，最大1毫升）以及术中和术后进行密切监测。
