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Insertion of an epidural catheter from the surgical wound for postoperative analgesia--a case report

机译:从手术伤口插入硬膜外导管进行术后镇痛-病例报告

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摘要

A 62-year-old male was scheduled for discectomy for lumbar disc herniation. He had bronchial asthma, and his asthma was induced by nonsteroidal anti-inflammatory drugs. We decided to use continuous epidural block for postoperative analgesia. However, he was frightened of insertion of an epidural catheter. Therefore, we planned to insert the epidural catheter before the end of surgery under general anesthesia. It was easily placed at L 5-S 1 interspace using a Tuohy needle from the surgical wound, and the contrast medium 5 ml was injected through the epidural catheter to confirm the placement. After the surgery, continuous epidural block with local anesthetics was used for two days. He did not complain of severe pain postoperatively.
机译:计划安排一名62岁的男性进行腰椎间盘突出症的椎间盘切除术。他患有支气管哮喘,并且他的哮喘是由非甾体类抗炎药引起的。我们决定使用硬膜外连续阻滞进行术后镇痛。但是,他对插入硬膜外导管感到恐惧。因此,我们计划在全身麻醉下在手术结束前插入硬膜外导管。使用Tuohy针从手术伤口轻松将其放置在L 5-S 1间隙,并通过硬膜外导管注入5 ml造影剂以确认放置位置。手术后,连续麻醉硬膜外阻滞两天。他没有抱怨术后严重疼痛。

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