在内透形内镜手术期间的手术内静脉气栓塞:管理建议. 一个说明性的案例
Thomas Hanks1,2, Spencer Raub1,2, Kyly Hiatt1
1Department of Neurological Surgery, University of Washington, Seattle, Washington.
Journal of neurosurgery. Case lessons
|March 3, 2025
概括
静脉气栓塞 (VAE) 是跨形手术期间的一种罕见并发症. 及时识别和干预是管理VAE和改善患者结果的关键.
科学领域:
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 静脉气栓塞 (VAE) 是神经外科手术中罕见但严重的并发症,特别是在跨手术过程中.
- 当空气进入一个大而暴露的静脉时,会产生压力梯度,从而使空气进入右心脏.
研究的目的:
- 要突出内科手术期间内透膜外形手术中内科VAE的识别和管理.
- 讨论VAE的病理生理学和降低风险的策略.
主要方法:
- 一个53岁的女性患有出血性细胞上质量的病例报告.
- 内镜透切除与手术内VAE识别和管理.
- 术后并发症的多学科方法,包括血管,CSF泄漏和休克.
主要成果:
- 在Trendelenburg重新定位的过程中,在手术期间发现并成功管理了VAE,从而完成了光学隙解压.
- 患者经历了术后并发症,但随着视力改善而出院,没有神经缺陷.
结论:
- VAE是跨形手术的罕见并发症.
- 及时识别,明确沟通和快速干预对于尽量减少手术后的发病率和可能允许程序的延续至关重要.
相关概念视频
Endoscopic Studies II: Thoracocentesis
190
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
190
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
161
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
161
Endotracheal Intubation I: Procedure
557
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
557
Epistaxis
118
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
118
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
Suctioning the Nasopharyngeal Airway
237
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
237


