选择性剖宫产硬膜穿刺针(18G)意外穿刺1例报告

IF 0.2 Q4 ANESTHESIOLOGY
Omar Rajab, S. Kanawati, M. Barada, Z. Naja, L. Sinno
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引用次数: 0

摘要

23岁产妇足月体重指数20.8 kg/m2行择期剖宫产。脊髓麻醉使用一根27-G铅笔尖针,不带引入针,使用一根单独的18-G引入针。在L4-L5水平引入引入器后,可见脑脊液(CSF)意外自由流动。取出引入器并在L3-L4水平插入,然后是脊髓针。可见脑脊液回流;给了麻醉药混合物。阻滞成功,剖宫产,无术中并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accidental Dural Puncture With An Introducer Needle (18 G) For Elective Caesarean Section: A case report
A 23-year-old parturient with a body mass index of 20.8 kg/m2 at term was admitted for elective caesarean section. Spinal anaesthesia was done using a 27-G pencil-point needle without an introducer guide, with the usage of a separate 18-G introducer needle. After the introduction of the introducer at the level of L4–L5, accidental free flow of cerebrospinal fluid (CSF) was seen. The introducer was withdrawn and inserted at the level of L3–L4, followed by the spinal needle. CSF backflow was seen; an anaesthetic mixture was given. Block was successful and caesarean section was done with no intraoperative complications.
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