使用左心室辅助装置的患者后路脊柱手术的麻醉挑战:1例报告。

A&A Case Reports Pub Date : 2017-08-01 DOI:10.1213/XAA.0000000000000531

J Pablo Kollmar, Douglas A Colquhoun, Julie L Huffmyer

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引用次数: 11

摘要

随着左心室辅助装置(LVAD)植入率的增长，终末期心力衰竭患者和LVAD支持正在出现各种非心脏手术。我们描述了一个73岁患有HeartMateII LVAD的男性患者的椎管狭窄紧急后路腰椎减压的病例，该病例在定位、失血和凝血功能方面提出了重大的麻醉挑战。

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Anesthetic Challenges for Posterior Spine Surgery in a Patient With Left Ventricular Assist Device: A Case Report.

With the growing rate of left ventricular assist device (LVAD) implantation, patients with end-stage heart failure and LVAD support are presenting for a variety of noncardiac surgeries. We describe a case of urgent posterior lumbar decompression for spinal stenosis in a 73-year-old man with HeartMateII LVAD, which presented significant anesthetic challenges in terms of positioning, blood loss, and coagulopathy.

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A&A Case Reports

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