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Large acute epidural hematoma from head pin fixation fracture

Vinicius Trindade Gomes da Silva1, Louise Makarem1, Rhuann Pontes Dos Santos Silva2

  • 1Division of Neurosurgery at University of São Paulo São Paulo Brazil.

Clinical Case Reports
|July 22, 2024
PubMed

Keywords:
brain tumorscranial epidural hematomafixation fracturehead pin fixationpostoperative complications

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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