[Neuraxial hematoma after combined regional anesthesia: conservative resolution]
| Autor: | S, Martín, A, Smaranda, J, Archilla, J, Gómez de Orellana, F, Ramasco, B, Muñoz, A, Colmenero, F, Simón, A, Tabatabaian |
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| Rok vydání: | 2005 |
| Předmět: |
Anesthesia
Epidural Anti-Inflammatory Agents Hemiplegia Punctures Dexamethasone Subarachnoid Space Postoperative Complications Humans Ropivacaine Enoxaparin Arthroplasty Replacement Knee Psychomotor Agitation Aged Anticoagulants Thrombosis Hematoma Epidural Spinal Amides Bupivacaine Magnetic Resonance Imaging Analgesia Epidural Fentanyl Urinary Incontinence Back Pain Hematoma Subdural Spinal Female Emergencies Tomography X-Ray Computed Fecal Incontinence |
| Zdroj: | Revista espanola de anestesiologia y reanimacion. 52(7) |
| ISSN: | 0034-9356 |
| Popis: | Epidural hematoma is a rare but serious neurological complication of neuraxial anesthesia. We report the case of a woman in whom this complication presented after knee replacement surgery under combined neuraxial anesthesia. No adverse events occurred during surgery. In the early postoperative period thromboembolic prophylaxis and continuous perfusion of ropivacaine were started through the epidural catheter. Lumbar pain along with sensorimotor alterations in the lower limbs developed on the first day after surgery. Epidural hematoma was suspected and the perfusion of local anesthetic was suspended. A computed tomography scan confirmed the presence of a hematoma with poorly defined margins. The patient was transferred to another hospital for dorsolumbar magnetic resonance, which revealed an extensive hematoma. Surgery was ruled out in favor of conservative treatment. Neurological symptoms resolved slowly over the following days and the patient was discharged partially recovered 51 days after surgery and recovery was complete within 6 postoperative months. We discuss the prevalence, etiology, and treatment of neuraxial hematoma related to local or regional anesthesia. |
| Databáze: | OpenAIRE |
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