系列外周神经阻滞在残肢抢救中的应用:1例报告。

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A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001635

Monica Nagalla, Brittany Seidensticker, Santhanam Suresh, Michael A Evans

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引用次数: 0

摘要

对于医学上复杂的病人，术后血栓的处理往往不是直截了当的。我们描述了一例先天性心脏病患者，心脏移植后立即有多种血栓形成的危险因素，肢体受损，每天接受连续的周围神经阻滞(pnb)，导致肢体保留。阻滞的镇痛作用允许临床进展和参与康复治疗，并且阻滞的血管扩张作用有助于防止在失活和充血的肢体中发生膝下截肢(BKA)。

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Serial Peripheral Nerve Blocks to Aid in Salvage of a Compromised Limb: A Case Report.

The management of postsurgical thrombosis in a medically complicated patient is often not straightforward. We describe a case of a congenital heart disease patient with multiple risk factors for thrombosis with a compromised limb immediately after heart transplant who received serial daily peripheral nerve blocks (PNBs) resulting in limb salvage. The analgesic effects of the blocks allowed for clinical progression and participation in rehabilitation therapy, and the vasodilatory effects of the blocks helped prevent a below the knee amputation (BKA) in this devitalized and congested extremity.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.