在被使用非氧化的德佛兰麻醉的患者中,急性手术内耳膜破裂:一个病例报告
Dylan J Cincotta1, Jacob B Brandenburg
1From the University of Utah Department of Anesthesiology, Salt Lake City, UT.
A&A practice
|February 15, 2024
概括
一名接受医疗手术的患者在使用德斯兰麻醉时经历了急性 tympanic 膜破裂,这种并发症以前与这种没有氧化的麻醉剂无关. 这一案例突出了除了典型的麻醉风险之外的潜在因素.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 耳膜 (TM) 破裂是已知的并发症,与麻醉期间使用氧化 (N2O) 相关.
- 然而,当N2O被排除在外时,以前没有记录过吸入挥发性麻醉剂的TM断裂.
研究的目的:
- 报告一个独特的急性手术内耳膜破裂病例.
- 为了探索在接受非N2O的desflurane的病人潜在的促成因素.
主要方法:
- 一名患者的病例报告,该患者因上升性胆道炎而接受了内镜逆行胆道松造影 (ERCP).
- 在不使用N2O的情况下,使用desflurane维持麻醉.
主要成果:
- 在手术过程中发生了急性手术内耳膜破裂.
- 破裂并不是直接归因于N2O,因为它没有被施用.
结论:
- 诸如倾斜的位置,耳部创伤史和选择德斯弗的因素可能导致TM断裂.
- 这一案例表明,在特定的患者和程序情况下,TM断裂可以发生在N2O以外的吸入麻醉剂下.
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