{"title":"Spinal Epidural Hematoma Following Combined Spinal Epidural Anesthesia: A Case Report.","authors":"Jun Du, Chan Li, Yanfei Xia","doi":"10.1016/j.jopan.2024.10.005","DOIUrl":null,"url":null,"abstract":"<p><p>A spinal epidural hematoma (SEH) is a rare complication of combined spinal epidural anesthesia. The case of a 55-year-old man who underwent orthopedic surgery under combined spinal epidural anesthesia is presented. Flurbiprofen and horse chestnut seed extract that potentially affect coagulation function during the perioperative period were used. The patient developed an SEH, but had normal coagulation function. Due to masking of neurologic symptoms by pain at the surgical site, the diagnosis of the SEH by magnetic resonance imaging was not made until postoperative day 9. Conservative treatment resulted in complete resolution of the SEH. Early, meticulous, and frequent neurologic examinations by anesthesiologists, surgeons, and nurses are crucial in preventing the delayed diagnosis of SEHs.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perianesthesia Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jopan.2024.10.005","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
A spinal epidural hematoma (SEH) is a rare complication of combined spinal epidural anesthesia. The case of a 55-year-old man who underwent orthopedic surgery under combined spinal epidural anesthesia is presented. Flurbiprofen and horse chestnut seed extract that potentially affect coagulation function during the perioperative period were used. The patient developed an SEH, but had normal coagulation function. Due to masking of neurologic symptoms by pain at the surgical site, the diagnosis of the SEH by magnetic resonance imaging was not made until postoperative day 9. Conservative treatment resulted in complete resolution of the SEH. Early, meticulous, and frequent neurologic examinations by anesthesiologists, surgeons, and nurses are crucial in preventing the delayed diagnosis of SEHs.
期刊介绍：
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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