麻醉的神经系统并发症：一种实用方法。
Neurologic complications of anesthesia: A practical approach.
作者信息
Rabinstein Alejandro A, Keegan Mark T
机构信息
Departments of Neurology (AAR) and Anesthesia (MTK), Mayo Clinic, Rochester, MN.
出版信息
Neurol Clin Pract. 2013 Aug;3(4):295-304. doi: 10.1212/CPJ.0b013e3182a1b9bd.
Abstract
Neurologic complications related to anesthesia are infrequent but can be serious. Neurologists are often consulted to evaluate patients with postoperative symptoms and must be ready to discriminate those truly caused by the anesthetic drug or procedure from the more common postoperative complications that are unrelated to the anesthesia itself. This practical review relies on cases to illustrate common reasons for neurologic consultation in the postsurgical setting. It also briefly summarizes what to expect when patients with central or peripheral neurologic disease undergo surgery under general or regional anesthesia.
摘要
与麻醉相关的神经系统并发症并不常见，但可能很严重。神经科医生经常被请来评估有术后症状的患者，并且必须准备好将那些真正由麻醉药物或操作引起的症状与更常见的、与麻醉本身无关的术后并发症区分开来。这篇实用性综述借助病例来说明术后进行神经科会诊的常见原因。它还简要总结了患有中枢或周围神经系统疾病的患者在全身麻醉或区域麻醉下接受手术时可能出现的情况。
相似文献
1
Neurologic complications of anesthesia: A practical approach.
Neurol Clin Pract. 2013 Aug;3(4):295-304. doi: 10.1212/CPJ.0b013e3182a1b9bd.
2
Effectiveness of ondansetron as an adjunct to lidocaine intravenous regional anesthesia on tourniquet pain and postoperative pain in patients undergoing elective hand surgery: a systematic review protocol.
JBI Database System Rev Implement Rep. 2015 Jan;13(1):27-38. doi: 10.11124/jbisrir-2015-1768.
3
Neurologic issues and obstetric anesthesia.
Semin Neurol. 2011 Sep;31(4):374-84. doi: 10.1055/s-0031-1293536. Epub 2011 Nov 23.
4
Incidence of local anesthetic systemic toxicity and postoperative neurologic symptoms associated with 12,668 ultrasound-guided nerve blocks: an analysis from a prospective clinical registry.
Reg Anesth Pain Med. 2012 Sep-Oct;37(5):478-82. doi: 10.1097/AAP.0b013e31825cb3d6.
5
[Forefoot surgery under regional anesthesia].
Acta Chir Orthop Traumatol Cech. 2005;72(2):122-4.
6
Neurologic complications after neuraxial anesthesia or analgesia in patients with preexisting peripheral sensorimotor neuropathy or diabetic polyneuropathy.
Anesth Analg. 2006 Nov;103(5):1294-9. doi: 10.1213/01.ane.0000243384.75713.df.
7
What Adverse Events and Injuries Are Cited in Anesthesia Malpractice Claims for Nonspine Orthopaedic Surgery?
Clin Orthop Relat Res. 2017 Dec;475(12):2941-2951. doi: 10.1007/s11999-017-5303-z.
8
Postsurgical inflammatory neuropathy.
Reg Anesth Pain Med. 2011 Jul-Aug;36(4):403-5. doi: 10.1097/AAP.0b013e31821e6503.
9
Serious complications related to regional anesthesia: results of a prospective survey in France.
Anesthesiology. 1997 Sep;87(3):479-86. doi: 10.1097/00000542-199709000-00005.
10
Neurologic complications of anesthesia.
Continuum (Minneap Minn). 2011 Feb;17(1 Neurologic Complications of Systemic Disease):134-47. doi: 10.1212/01.CON.0000394679.20738.9c.
引用本文的文献
1
Postoperative Neurological Deficits Following Regional Anesthesia: A Rare Case of Transient Aphasia and Hemiparesis.
Cureus. 2025 Apr 9;17(4):e81953. doi: 10.7759/cureus.81953. eCollection 2025 Apr.
2
Anesthetic Considerations in Athletes: A Review.
Cureus. 2025 Mar 23;17(3):e81040. doi: 10.7759/cureus.81040. eCollection 2025 Mar.
3
Movement Disorders Associated With Radiotherapy and Surgical Procedures.
J Mov Disord. 2023 Jan;16(1):42-51. doi: 10.14802/jmd.22092. Epub 2023 Jan 12.
4
Hepatic Encephalopathy: From Metabolic to Neurodegenerative.
Neurochem Res. 2021 Oct;46(10):2612-2625. doi: 10.1007/s11064-021-03372-4. Epub 2021 Jun 15.
本文引用的文献
1
Delirium in the cardiovascular ICU: exploring modifiable risk factors.
Crit Care Med. 2013 Feb;41(2):405-13. doi: 10.1097/CCM.0b013e31826ab49b.
2
Neurologic complications of anesthesia.
Continuum (Minneap Minn). 2011 Feb;17(1 Neurologic Complications of Systemic Disease):134-47. doi: 10.1212/01.CON.0000394679.20738.9c.
3
Predisposing factors for postoperative delirium after hip fracture repair in individuals with and without dementia.
J Am Geriatr Soc. 2011 Dec;59(12):2306-13. doi: 10.1111/j.1532-5415.2011.03725.x.
4
Risk factors associated with ischemic optic neuropathy after spinal fusion surgery.
Anesthesiology. 2012 Jan;116(1):15-24. doi: 10.1097/ALN.0b013e31823d012a.
5
Pilot randomized trial of donepezil hydrochloride for delirium after hip fracture.
J Am Geriatr Soc. 2011 Nov;59 Suppl 2(Suppl 2):S282-8. doi: 10.1111/j.1532-5415.2011.03691.x.
6
Perioperative seizures in patients with a history of a seizure disorder.
Anesth Analg. 2010 Sep;111(3):729-35. doi: 10.1213/ANE.0b013e3181e534a4. Epub 2010 Jun 14.
7
Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition).
Reg Anesth Pain Med. 2010 Jan-Feb;35(1):64-101. doi: 10.1097/aap.0b013e3181c15c70.
8
Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair.
Mayo Clin Proc. 2010 Jan;85(1):18-26. doi: 10.4065/mcp.2009.0469.
9
Perioperative visual loss: what do we know, what can we do?
Br J Anaesth. 2009 Dec;103 Suppl 1(Suppl 1):i31-40. doi: 10.1093/bja/aep295.
10
Effect of general anesthesia in patients with epilepsy: a population-based study.
Epilepsy Behav. 2010 Jan;17(1):87-9. doi: 10.1016/j.yebeh.2009.10.015. Epub 2009 Nov 11.
Zotero 插件