Coviello Antonio, Golino Ludovica, Posillipo Concetta, Marra Annachiara, Tognù Andrea, Servillo Giuseppe
Department of Anesthesiology and Intensive Care Medicine Policlinico - Federico II University Hospital Napoli Italy.
Department of Anaesthesia and Postoperative Intensive Care Istituto Ortopedico Rizzoli Bologna Italy.
Clin Case Rep. 2022 Feb 4;10(2):e05194. doi: 10.1002/ccr3.5194. eCollection 2022 Feb.
A 42-year-old male patient with Arnold-Chiari malformation type 1,5 (ACM-1,5) came to implant a hip prosthesis. He underwent a previous general anesthesia, with difficult airway management and complication in awakening. In this second surgery, an extradural approach was preferred to keep intracranial pressure and hemodynamics stable.
一名患有1,5型阿诺德-奇亚里畸形(ACM-1,5)的42岁男性患者前来植入髋关节假体。他之前接受过全身麻醉,气道管理困难且苏醒时出现并发症。在这次第二次手术中,选择硬膜外麻醉方法以保持颅内压和血流动力学稳定。