Profound sedation and subarachnoid migration of an epidural catheter: a report of two cases
スポンサーリンク
概要
- 論文の詳細を見る
We describe two patients who developed profound sedation and unconsciousness during continuous administration of morphine through an epidural catheter. Both patients underwent abdominal surgery under combined epidural and general anesthesia. There were no symptoms or signs suggestive of subarachnoid migration of the epidural catheter during surgery. Clear fluid, which contained sugar, was aspirated through the epidural catheter, when profound sedation was noted. Their SpO2 did not decrease to abnormal levels while breathing oxygen-enriched air. Continuous intravenous administration of naloxone improved profound sedation and respiratory depression. Subarachnoid migration of an epidural catheter should be considered as a differential diagnosis of unusual profound sedation during epidural administration of opioids.
- 一般社団法人 日本ペインクリニック学会の論文
一般社団法人 日本ペインクリニック学会 | 論文
- 神経障害性疼痛の症状から予測するガバペンチンの鎮痛効果
- 腰部硬膜外穿刺における各種画像検査による距離の予測
- くも膜下モルヒネに高用量のブピバカインを併用し良好な鎮痛が得られた2 症例
- 尖圭コンジローマ外科的切除時の痛み緩和目的でのリドカインテープ(ペンレス^【○!R】)使用経験
- 特発性脳脊髄液漏出症に対する経椎間孔的硬膜外自家血パッチの経験