Bibliographic Details
| Title: |
Regional anesthesia for compartment syndrome as a complication of ECMO. Case report. |
| Alternate Title: |
Anestesia regional para síndrome compartimental como complicación de ECMO. Reporte de caso. |
| Authors: |
Daniel Romero, José1 daromerou@gmail.com, Fernández-Morales, David1, Echeverri Vélez, Marysol1, Mínguez Lujan, Laura1, Argente Navarro, María Pilar1 |
| Source: |
Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. Jan-Mar2022, Vol. 50 Issue 1, p1-4. 4p. |
| Subjects: |
CARDIOGENIC shock, SCIMITAR syndrome, COMPARTMENT syndrome, CONDUCTION anesthesia, EXTRACORPOREAL membrane oxygenation, NASAL cannula |
| Abstract (English): |
We present the case of a patient intervened for mechanical mitral replacement, tricuspid annuloplasty, and correction of a total anomalous pulmonary venous return, which required Extracorporeal Membrane Oxygenation (ECMO) in the immediate postoperative period because of refractory cardiogenic shock. After withdrawal of the arterial cannula, the patient developed compartment syndrome of the right lower limb, requiring urgent intervention. Also, the patient went into respiratory failure, requiring support with high flow oxygen cannula. Given the patient's condition, general anesthesia was discarded. An ultrasound-guided popliteal block and sedation with dexmedetomidine and ketamine was performed instead, maintaining the high flow nasal cannula. Regional anesthesia along with dexmedetomidine and ketamine could be an alternative for a surgical procedure in patients with high risk of cardiovascular and respiratory complications. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Presentamos el caso de una paciente femenina sometida a remplazo de válvula mitral mecánica, anuloplastia y corrección de retorno venoso pulmonar anómalo total, quien requirió oxigenación con membrana extracorpórea (ECMO) en el postoperatorio inmediato debido a shock cardiogénico refractario. Una vez retirada la cánula arterial, la paciente desarrolló síndrome compartimental de la extremidad inferior derecha, requiriendo intervención urgente. Adicionalmente, presentó insuficiencia respiratoria que requirió soporte de oxígeno por cánula de alto flujo. En vista de la condición de la paciente se descartó la anestesia general, optando a cambio por un bloqueo poplíteo guiado por ultrasonido más sedación con dexmedetomidina y ketamina, manteniendo la cánula nasal de alto flujo. La anestesia regional junto con dexmedetomidina y ketamina puede ser una alternativa para procedimientos quirúrgicos en pacientes de alto riesgo cardiovascular y complicaciones respiratorias. [ABSTRACT FROM AUTHOR] |
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Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
MedicLatina |
