腋窝神经丛阻滞置入时全身性癫痫发作。

4区医学 Q3 Medicine

Anaesthesist Pub Date : 2022-04-01 Epub Date: 2021-10-14 DOI:10.1007/s00101-021-01055-x

T Hillermann, K Homburg, M Rainer, U Budde

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引用次数: 1

摘要

一个年轻的病人经历了全身性癫痫发作期间放置腋窝丛阻滞。其机制，主要是假定的血管内给药，导致局部麻醉毒性作为这一事件的原因，进行了讨论。本病例是一个例子，说明了当某些细节没有得到尊重时，超声对解剖结构的可视化会给人一种错误的印象。我们认为这种情况下的主要机制是超声换能器对静脉的压迫。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Generalized seizure during placement of an axillary plexus block].

A young patient experienced a generalized seizure during the placement of an axillary plexus block. The mechanisms, essentially the presumed intravascular administration, which led to the local anesthetic toxicity as the cause of this event, are discussed. This case is an example of how visualization of the anatomy by ultrasound can give a false impression when certain details are not respected. It is assumed that the main mechanism in this case was venous compression by the ultrasound transducer.

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来源期刊

Anaesthesist 医学-麻醉学

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Anaesthesist is an internationally recognized journal dealing with all aspects of anaesthesia and intensive medicine up to pain therapy. Der Anaesthesist addresses all specialists and scientists particularly interested in anaesthesiology and it is neighbouring areas. Review articles provide an overview on selected topics reflecting the multidisciplinary environment including pharmacotherapy, intensive medicine, emergency medicine, regional anaesthetics, pain therapy and medical law. Freely submitted original papers allow the presentation of relevant clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.