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区域技术为膝上截肢提供完全手术麻醉:在新冠疫情期间是气管内全麻的可行替代方案

Regional Technique Provides Complete Surgical Anesthesia for Above-the-Knee Amputation: A Viable Alternative to General Endotracheal Anesthesia in a Time of COVID-19.

作者信息

Kujak Mary Kay, Pomerantz Lauren H, Petrovic Michelle

机构信息

Anesthesiology, University of Central Florida College of Medicine, Orlando, USA.

Medicine, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2022 May 26;14(5):e25364. doi: 10.7759/cureus.25364. eCollection 2022 May.

Abstract

In the initial phase of the coronavirus disease 2019 (COVID-19) pandemic, laboratory test shortages made it impossible to definitively identify patients with active COVID-19 infection or asymptomatic carriers. Without diagnostic certainty, it was imperative to proceed with caution when performing aerosol-generating procedures; this meant that anesthesiologists needed to make conscious decisions to avoid airway manipulation for procedures when it was not completely necessary. This case report describes a regional anesthetic technique that was used as the primary anesthetic for an urgent above-the-knee amputation in a patient with a history of respiratory issue of unknown etiology.

摘要

在2019冠状病毒病(COVID-19)大流行的初始阶段,实验室检测短缺使得无法明确识别患有活动性COVID-19感染的患者或无症状携带者。在没有明确诊断的情况下,在进行产生气溶胶的操作时必须谨慎行事;这意味着麻醉医生需要做出明智的决定,在并非完全必要的情况下避免为手术进行气道操作。本病例报告描述了一种区域麻醉技术,该技术被用作一名有不明病因呼吸问题病史患者紧急膝上截肢手术的主要麻醉方法。

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本文引用的文献

2
Peripheral nerve blocks for above knee amputation in high-risk patients.高危患者膝上截肢的周围神经阻滞
J Anaesthesiol Clin Pharmacol. 2018 Oct-Dec;34(4):458-464. doi: 10.4103/joacp.JOACP_346_17.

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