• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

开放性低位直肠前切除术的椎管内麻醉：权衡利弊，选择对患者有利的方式

Neuraxial Anesthesia for an Open Low Anterior Rectal Resection: Tip the Scales in Patient's Favor.

作者信息

Marrone Francesco, Fusco Pierfrancesco, Lepre Luca, Giulii Capponi Michela, Villani Alessandra, Paventi Saverio, Tomei Marco, Starnari Roberto, Pullano Carmine

机构信息

Department of Anesthesiology and Critical Care, Santo Spirito Hospital, Rome, ITA.

Department of Anesthesia, Santo Spirito Hospital, Rome, ITA.

出版信息

Cureus. 2024 Mar 27;16(3):e57094. doi: 10.7759/cureus.57094. eCollection 2024 Mar.

DOI:10.7759/cureus.57094
PMID:38549865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10973603/
Abstract

We present the case of a successful application of combined spinal-epidural anesthesia for a geriatric patient undergoing open cancer surgery. The patient, affected by multiple comorbidities, was proposed for an open anterior rectal resection. The implementation of a tailored protocol, incorporating neuraxial techniques such as epidural and spinal anesthesia, facilitated optimal pain management and expedited postoperative recovery improving perioperative outcomes, and highlighting the potential benefits of such strategies in selected cases.

摘要

我们介绍了一例成功地对一名接受开放性癌症手术的老年患者应用腰麻-硬膜外联合麻醉的病例。该患者患有多种合并症，拟行开放性直肠前切除术。实施一个量身定制的方案，纳入硬膜外麻醉和腰麻等神经轴技术，有助于实现最佳的疼痛管理，并加快术后恢复，改善围手术期结局，突出了此类策略在特定病例中的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/10973603/df82c73b181b/cureus-0016-00000057094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/10973603/df82c73b181b/cureus-0016-00000057094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c89/10973603/df82c73b181b/cureus-0016-00000057094-i01.jpg

相似文献

1
Neuraxial Anesthesia for an Open Low Anterior Rectal Resection: Tip the Scales in Patient's Favor.开放性低位直肠前切除术的椎管内麻醉：权衡利弊，选择对患者有利的方式
Cureus. 2024 Mar 27;16(3):e57094. doi: 10.7759/cureus.57094. eCollection 2024 Mar.
2
Reducing risk of spinal haematoma from spinal and epidural pain procedures.降低脊柱和硬膜外疼痛治疗引起脊髓血肿的风险。
Scand J Pain. 2018 Apr 25;18(2):129-150. doi: 10.1515/sjpain-2018-0041.
3
Regional and neuraxial anaesthesia techniques for spinal surgery: a scoping review.区域麻醉和神经轴索麻醉技术用于脊柱手术：范围综述。
Br J Anaesth. 2022 Oct;129(4):598-611. doi: 10.1016/j.bja.2022.05.028. Epub 2022 Jul 9.
4
Neuraxial anesthesia and intraoperative bilevel positive airway pressure in a patient with severe chronic obstructive pulmonary disease and obstructive sleep apnea undergoing elective sigmoid resection.一名患有严重慢性阻塞性肺疾病和阻塞性睡眠呼吸暂停的患者在接受择期乙状结肠切除术时的神经轴麻醉和术中双水平气道正压通气
Reg Anesth Pain Med. 2009 Jan-Feb;34(1):69-71. doi: 10.1097/AAP.0b013e31819266b2.
5
What's New in Neuraxial Labor Analgesia.椎管内分娩镇痛的新进展
Curr Anesthesiol Rep. 2021;11(3):340-347. doi: 10.1007/s40140-021-00453-6. Epub 2021 Aug 27.
6
[Spinal and epidural anesthesia in patients with hemorrhagic diathesis : decisions on the brink of minimum evidence?].[出血素质患者的脊髓和硬膜外麻醉：基于最少证据的抉择？]
Anaesthesist. 2011 Dec;60(12):1126-34. doi: 10.1007/s00101-011-1930-z. Epub 2011 Jul 31.
7
Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review.脊髓损伤与椎管内麻醉相关并发症：系统评价。
Int J Mol Sci. 2023 Feb 28;24(5):4665. doi: 10.3390/ijms24054665.
8
Neuraxial anesthesia for cardiac surgery: thoracic epidural and high spinal anesthesia - why is it different?心脏手术的神经轴麻醉：胸段硬膜外麻醉和高位脊髓麻醉——为何不同？
HSR Proc Intensive Care Cardiovasc Anesth. 2011;3(1):25-8.
9
Serious complications associated with spinal and epidural anaesthesia in Finland from 2000 to 2009.2000 至 2009 年芬兰脊髓和硬膜外麻醉相关的严重并发症。
Acta Anaesthesiol Scand. 2013 May;57(5):553-64. doi: 10.1111/aas.12064. Epub 2013 Jan 11.
10
Inadequate neuraxial anaesthesia in patients undergoing elective caesarean section: a systematic review.择期剖宫产术患者中神经轴阻滞不全：系统评价。
Anaesthesia. 2022 May;77(5):598-604. doi: 10.1111/anae.15657. Epub 2022 Jan 22.

本文引用的文献

1
Neuraxial anesthesia for open gastrectomy: when the benefits outweigh the risks.开腹胃癌切除术的椎管内麻醉：何时获益大于风险。
Minerva Anestesiol. 2024 Jun;90(6):584-586. doi: 10.23736/S0375-9393.24.17968-0. Epub 2024 Jan 31.
2
Neuraxial anesthesia for abdominal surgery, beyond the pandemic: a feasibility pilot study of 70 patients in a suburban hospital.神经轴麻醉用于腹部手术，超越大流行：在一家郊区医院对 70 例患者进行可行性试点研究。
Updates Surg. 2023 Sep;75(6):1691-1697. doi: 10.1007/s13304-023-01554-z. Epub 2023 Jun 6.
3
Segmental Thoracic Spinal Anesthesia for Laparoscopic Cholecystectomy with the "Hypobaric" Technique: A Case Series.
采用“低压”技术的节段性胸段脊髓麻醉用于腹腔镜胆囊切除术：病例系列
Local Reg Anesth. 2023 May 8;16:31-40. doi: 10.2147/LRA.S395376. eCollection 2023.
4
Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review.特发性肺纤维化患者非心脏手术的围手术期管理：一项叙述性综述
Int J Gen Med. 2022 Feb 23;15:2087-2100. doi: 10.2147/IJGM.S266217. eCollection 2022.
5
Failed dural puncture during needle-through-needle combined spinal-epidural anesthesia: a case series.针内针联合脊麻-硬膜外麻醉时硬膜穿刺失败：病例系列
J Pain Res. 2019 May 17;12:1615-1619. doi: 10.2147/JPR.S178640. eCollection 2019.
6
Anesthetic management of nephrectomy in a chronic obstructive pulmonary disease patient with recurrent spontaneous pneumothorax.一名患有复发性自发性气胸的慢性阻塞性肺疾病患者肾切除术的麻醉管理
Braz J Anesthesiol. 2016 Jul-Aug;66(4):423-5. doi: 10.1016/j.bjane.2014.02.002. Epub 2014 Mar 12.
7
Epidural analgesia is associated with improved health outcomes of surgical patients with chronic obstructive pulmonary disease.硬膜外镇痛与慢性阻塞性肺疾病手术患者健康状况的改善有关。
Anesthesiology. 2011 Aug;115(2):315-21. doi: 10.1097/ALN.0b013e318224cc5c.
8
Regional anesthesia as an alternative to general anesthesia for abdominal surgery in patients with severe pulmonary impairment.对于严重肺功能损害的患者，区域麻醉可作为腹部手术全身麻醉的替代方法。
Am J Surg. 2004 Nov;188(5):603-5. doi: 10.1016/j.amjsurg.2004.07.016.
9
Combined spinal-epidural as an alternative method of anaesthesia for a sigmoid-colectomy.腰麻-硬膜外联合麻醉作为乙状结肠切除术的一种替代麻醉方法。
Anaesthesia. 2001 Aug;56(8):815-6. doi: 10.1046/j.1365-2044.2001.02181-27.x.