罗哌卡因腘坐骨神经阻滞术后足下垂,病例报告和文献综述。

IF 1.5 Q3 ANESTHESIOLOGY
Local and Regional Anesthesia Pub Date : 2024-07-11 eCollection Date: 2024-01-01 DOI:10.2147/LRA.S470574
Andreas Clipet-Jensen, Hans Fjeldsøe-Nielsen, Peter Roy Kirkegaard
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引用次数: 0

摘要

尽管外周神经阻滞被认为是非常安全的,但有相当多的患者在应用这种麻醉技术时可能特别有吸引力,他们可能已经存在外周神经病变,从而面临进一步神经损伤的风险。我们介绍了一例 74 岁男性患者的病例,他有多种周围神经病变的危险因素,在使用罗哌卡因进行腘坐骨神经阻滞后出现了足下垂。我们认为罗哌卡因的血管收缩特性可能导致了原有的神经元缺血,从而进一步损伤了已经受损的神经。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foot Drop Following a Popliteal Sciatic Nerve Block with Ropivacaine, A Case Report and Literature Review.

Although peripheral nerve blocks are deemed very safe, a significant number of patients for whom this anesthetic technique may be particularly appealing to apply may present with preexisting peripheral neuropathies, putting them at risk for further nerve damage. We present a case with a 74-year-old male with several risk factors for peripheral neuropathy who developed a foot drop following a popliteal sciatic nerve block with ropivacaine. We suggest that the vasoconstrictive properties of ropivacaine may have contributed to a preexisting neuronal ischemia, thus further damaging an already compromised nerve.

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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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