易患压力性麻痹的遗传性神经病变患者俯卧位手术的麻醉管理。个案报告与叙述性文献综述

IF 0.1 Q4 ANESTHESIOLOGY
C. Moerman, T. Van Havenbergh, P. Van Houwe, S. Casaer
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引用次数: 1

摘要

报告的病例描述了一个遗传性神经病变与压力性麻痹(HNPP)的易感性,需要神经外科椎板切开术治疗蛛网膜囊肿与髓质压迫。HNPP是一种罕见的病理,需要细致的麻醉和手术治疗。为了尽量减少围手术期神经损伤的所有潜在危险因素,我们将详细概述麻醉过程的计划、模拟和执行。在本案例的准备过程中,定位极具挑战性,我们查阅了现有文献以寻求指导。一些论文报道了在先前诊断为HNPP的患者中使用神经轴麻醉。在这些患者的大手术中,没有关于全身麻醉和体位管理的报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of anesthesia for surgery in prone position for a patient with hereditary neuropathy with liability to pressure palsies. A case report and narrative literature review
The reported case describes a patient with hereditary neuropathy with liability to pressure palsies (HNPP) requiring a neurosurgical laminotomy procedure for an arachnoid cyst with medullary compression. HNPP is a rare pathology requiring meticulous anesthetic and surgical management. We give a detailed overview of the planning, simulation, and performance of the anesthesia procedure in order to minimize all potential risk factors for perioperative nerve injury. During the preparation of this case, where the positioning was extremely challenging, we reviewed the available literature for guidance. A few papers report the use of neuraxial anesthesia in patients previously diagnosed with HNPP. No reports could be found on the management of general anesthesia and positioning for major surgery in those patients.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
2
期刊介绍: L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.
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