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在清醒时进行脑干切割时进行脑干麻醉:说明案例.

Yun Chen1,2, Mei Sun2, Hongmin Bai3

  • 11Graduate School, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

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概括

在清醒时切除术 (AC) 期间的突然呼吸暂停可能是由于局部麻醉剂的意想不到的大脑干麻醉引起的. 在AC手术期间,小心地在大脑干附近施用麻醉剂对于患者的安全至关重要.

关键词:
呼吸暂停 (apnea) 是一种在清醒状态下进行骨切除术.脑干麻醉 麻醉 脑干麻醉利多卡因 (Lidocaine) 是一种药物.

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科学领域:

  • 神经外科 神经外科
  • 麻醉学 麻醉学
  • 神经学 神经学

背景情况:

  • 醒着的头骨切除术 (AC) 是一种神经外科手术,用于治疗大脑雄辩区域的病变.
  • 患者在AC期间保持警觉,造成呼吸道并发症的风险.
  • 呼吸暂停是一种严重的,尽管很少见的,在AC期间的并发症.

研究的目的:

  • 报告在AC期间突然呼吸暂停的情况.
  • 为了调查与局部麻醉剂管理相关的呼吸暂停的原因.
  • 为了突出体外局部麻醉在AC期间传播的风险.

主要方法:

  • 一个42岁的男性接受双边额叶质量AC的案例研究.
  • 在手术期间监测神经和呼吸功能.
  • 在中脑附近识别和切除一根利多卡因棉花.

主要成果:

  • 患者经历过渡性呼吸暂停和脑干反射的丧失.
  • 麻醉剂被移除后不久,自发呼吸恢复了.
  • 患者康复并完成了AC手术.

结论:

  • 在AC期间进行体下局部麻醉剂的使用存在风险.
  • 脑脊液可以传播麻醉剂,导致意外的脑干麻醉.
  • 降低麻醉剂度和避免大水可以提高安全性.