Koenig S B, Snyder R W, Kay J
Eye Institute, Milwaukee, WI 53226.
Ophthalmology. 1988 Sep;95(9):1285-7. doi: 10.1016/s0161-6420(88)33020-4.
Dysphagia and respiratory distress developed in three patients after administration of a Nadbath block. This complication may have resulted from inadvertent paralysis of the vagus, ipsilateral glossopharyngeal, and spinal accessory nerves causing pooling of oropharyngeal secretions and laryngospasm. Respiratory distress after a Nadbath block may be managed by properly positioning the patient. Short hypodermic needles (less than 12 mm), small volumes of anesthetic solution (less than 3 ml), and omission of hyaluronidase may reduce the incidence of this complication.
三名患者在接受纳得巴斯阻滞（Nadbath block）后出现吞咽困难和呼吸窘迫。这种并发症可能是由于迷走神经、同侧舌咽神经和副神经不经意间麻痹，导致口咽分泌物积聚和喉痉挛所致。纳得巴斯阻滞后的呼吸窘迫可通过正确安置患者体位来处理。短的皮下注射针（小于12毫米）、小剂量的麻醉溶液（小于3毫升）以及不使用透明质酸酶可能会降低这种并发症的发生率。
