A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient
| Autor: | Robert H. Small, Meghan I Cook, Kasey Fiorini, John C Coffman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry Neuraxial blockade Sensory system Case Report Obstetric patient Blockade lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology lcsh:Anesthesiology Anesthesia Rare case medicine 030101 anatomy & morphology Presentation (obstetrics) Complication Intensive care medicine business Phrenic nerve |
| Zdroj: | Case Reports in Anesthesiology, Vol 2016 (2016) Case Reports in Anesthesiology |
| ISSN: | 2090-6390 2090-6382 |
| Popis: | High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient that remained hemodynamically stable and had the preserved ability to initiate breaths despite sensory blockade up to C2. The presence of differential motor and sensory block documented in this case helped enable the patient to be managed with noninvasive ventilatory support until the high blockade regressed and we are not aware of any other similar reports in literature. |
| Databáze: | OpenAIRE |
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