Anaesthesia management of Anterior cervical discectomy and fusión.

C Beltrán Piles, B Monleón, R Badenes, D Tabares, P Capilla
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Abstract

Anterior Cervical Discectomy and Fusion (ACDF) is a common surgical procedure with positive outcomes, but it is not without potentially serious complications for the patient. We present the case of a patient who underwent ACDF and was found to have a cervical swelling prior to extubation. After a joint evaluation with the otolaryngology team, a suspicion of laryngeal structure dislocation was raised. A manual repositioning was performed prior to neuromuscular relaxation, and the patient was transferred intubated to the Recovery Unit due to a high risk of upper airway obstruction secondary to edema. After 24 hours of monitoring under scheduled corticosteroid treatment, a planned and safe extubation was carried out, witnessed by the otolaryngology team.

颈前路椎间盘切除术的麻醉管理及fusión。
前路颈椎椎间盘切除术和融合术(ACDF)是一种常见的外科手术,具有积极的结果,但对患者来说并非没有潜在的严重并发症。我们提出的情况下,患者接受ACDF,并发现有一个宫颈肿胀之前拔管。在与耳鼻喉科小组联合评估后,怀疑喉结构脱位。在神经肌肉放松之前进行手动重新定位,由于患者继发于水肿的上气道阻塞的高风险,患者被转移到恢复病房。在预定的皮质类固醇治疗下监测24小时后,在耳鼻喉科小组的见证下进行了计划和安全的拔管。
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