胸椎联合手术患者逆行置入硬膜外导管。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Case Reports Journal Pub Date : 2025-07-03 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S532166

Vanessa B Davis, Mark Li, Flora Mian Li, Ryu Komatsu, Jiang Wu

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引用次数: 0

摘要

在脊柱外科手术中很少考虑硬膜外麻醉技术用于术后镇痛，高位胸段硬膜外镇痛（TEA）被认为具有医学风险。我们报告了一例成功的手术逆行置入胸（T6-T7）硬膜外导管的患者，该患者接受了联合开胸和脊柱手术。经硬膜外造影确认为TEA，术后疼痛得到充分缓解，患者于术后3天出院。

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Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery.

Epidural anesthetic techniques for postoperative analgesia are rarely considered in spinal surgery, and high thoracic epidural analgesia (TEA) is considered medically risky. We present a successful case of surgical retrograde placement of a thoracic (T6-T7) epidural catheter under direct surgical visualization via T2 laminectomy in a patient who underwent combined thoracotomy and spinal surgery. TEA was confirmed by epidurogram, provided adequate postoperative pain relief, and the patient was discharged home three days post-surgery.

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来源期刊

International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

135

审稿时长

16 weeks

期刊介绍： International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.