Bushuven Stefan, Langenhan Ronny
Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Hegau Bodensee Hospital Singen, Virchowstrasse 10, 78224 Singen, Germany.
Department of Orthopedics, Traumatology and Hand Surgery, Hegau Bodensee Hospital Singen, Virchowstrasse 10, 78224 Singen, Germany.
Trauma Case Rep. 2017 Oct 31;12:28-30. doi: 10.1016/j.tcr.2017.10.012. eCollection 2017 Dec.
We report on a 54-year old male with traumatic brain injury, flail chest and floating shoulder undergoing intramedullary stabilization of a midshaft clavicle fracture in beach chair position. Intraoperatively the patient developed instable atrial fibrillation triggered by implantation of intramedullary nail. Secondary this case shows feasibility of cardioversion in latero-lateral electrode-position due to inaccessible standard positions and patient fixation between the operation table and the X-ray apparatus.
我们报告了一名54岁男性，患有创伤性脑损伤、连枷胸和浮动肩，在沙滩椅位接受锁骨中段骨折的髓内固定。术中患者因髓内钉植入引发不稳定型心房颤动。此外，由于标准位置难以触及且患者固定于手术台和X射线设备之间，该病例显示了在侧方电极位置进行心脏复律的可行性。
