Paraplegia after thoracotomy under combined general and epidural anesthesia in a child

被引：36

作者：

Allison, C. E. ^{[3
]}

Aronson, D. C. ^{[1
]}

Geukers, V. G. M. ^{[2
]}

van den Berg, R.

Schlack, W. S. ^{[3
]}

Hollmann, M. W. ^{[3
]}

机构：

[1] Emma Childrens Hosp, Dept Pediat Surg, Amsterdam, Netherlands

[2] Emma Childrens Hosp, Amsterdam, Netherlands

[3] Univ Amsterdam, Acad Med Ctr, Dept Anaesthesiol, NL-1105 AZ Amsterdam, Netherlands

来源：

PEDIATRIC ANESTHESIA | 2008年 / 18卷 / 06期

关键词：

D O I：

10.1111/j.1460-9592.2008.02590.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 9-year-old boy underwent a thoracotomy for excision of his right third rib under combined general and epidural anesthesia for a Ewings sarcoma. Postoperatively, he was found to have a complete T2-3 paraplegia. Permanent paraplegia was described as a rare complication of thoracotomy in adults, and very rarely after epidural analgesia in adults and babies. This was the first report in a child.

引用

页码：539 / 542

页数：4

共 13 条

[1] PARAPLEGIA AFTER THORACOTOMY - REPORT OF 5 CASES AND REVIEW OF THE LITERATURE [J].

ATTAR, S ;

HANKINS, JR ;

TURNEY, SZ ;

KRASNA, MJ ;

MCLAUGHLIN, JS .

ANNALS OF THORACIC SURGERY, 1995, 59 (06) :1410-1416

[2] Serious complications related to regional anesthesia - Results of a prospective survey in France [J].

Auroy, Y ;

Narchi, P ;

Messiah, A ;

Litt, L ;

Rouvier, B ;

Samii, K .

ANESTHESIOLOGY, 1997, 87 (03) :479-486

[3] Intraspinal haematoma following lumbar epidural anaesthesia in a neonate [J].

Breschan, C ;

Krumpholz, R ;

Jost, R ;

Likar, R .

PAEDIATRIC ANAESTHESIA, 2001, 11 (01) :105-108

[4] A review of neuraxial epidural morbidity - Experience of more than 8,000 cases at a single teaching hospital [J].

Cameron, Christie M. ;

Scott, David A. ;

McDonald, Wendy M. ;

Davies, Michael J. .

ANESTHESIOLOGY, 2007, 106 (05) :997-1002

[5] Imaging and outcome in severe complications of lumbar epidural anaesthesia: report of 16 cases [J].

Chiapparini, L ;

Sghirlanzoni, A ;

Pareyson, D ;

Savoiardo, M .

NEURORADIOLOGY, 2000, 42 (08) :564-571

[6] ACCIDENTS FOLLOWING EXTRADURAL ANALGESIA IN CHILDREN - THE RESULTS OF A RETROSPECTIVE STUDY [J].

FLANDINBLETY, C ;

BARRIER, G .

PAEDIATRIC ANAESTHESIA, 1995, 5 (01) :41-46

[7]

GREGORY GA, 2002, PEDAIT ANESTHESIA, P286

[8] Anticoagulation and neuraxial block: Historical perspective, anesthetic implications, and risk management [J].

Horlocker, TT ;

Wedel, DJ .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 1998, 23 (06) :129-134

[9] Paraplegia after delayed detection of inadvertent spinal cord injury during thoracic epidural catheterization in an anesthetized elderly patient [J].

Kao, MC ;

Tsai, SK ;

Tsou, MY ;

Lee, HK ;

Guo, WY ;

Hu, JS .

ANESTHESIA AND ANALGESIA, 2004, 99 (02) :580-583

[10] Spinal cord injury in a child caused by an accidental dural puncture with a single-shot thoracic epidural needle [J].

Kasai, T ;

Yaegashi, K ;

Hirose, M ;

Tanaka, Y .

ANESTHESIA AND ANALGESIA, 2003, 96 (01) :65-67

← 1 2 →