Delayed neurological deficit after total hip arthroplasty

被引：18

作者：

Ozelsel, TJP

Hein, HAT

Marcel, RJ

Rathjen, KW

Ramsay, MAE

Jackson, RW

机构：

[1] Baylor Univ, Med Ctr, Dept Anesthesiol & Pain Management, Dallas, TX 75246 USA

[2] Baylor Univ, Med Ctr, Dept Orthopaed Surg, Dallas, TX 75246 USA

[3] Univ Texas, SW Med Ctr, Dept Anesthesiol & Pain Management, Dallas, TX USA

来源：

ANESTHESIA AND ANALGESIA | 1998年 / 87卷 / 05期

关键词：

D O I：

10.1097/00000539-199811000-00045

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

IMPLICATIONS: We report two patients who sustained cerebral injury from microemboli after total hip arthroplasty. The neurological symptoms did not develop until 2-3 h after a normal recovery from anesthesia, and neither patient had evidence of intracardiac shunts. A review of possible etiologies for the formation of systemic emboli in these unusual cases is provided.

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收藏

页码：1209 / 1210

页数：2

相关论文

共 9 条

[1] TRANSPULMONARY SYSTEMIC FAT-EMBOLISM - STUDIES IN MONGREL DOGS AFTER CEMENTED ARTHROPLASTY [J].

BYRICK, RJ ;

MULLEN, JB ;

MAZER, CD ;

GUEST, CB .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 150 (05) :1416-1422

[2]

DORR LD, 1989, CLIN ORTHOP RELAT R, P112

[3] Delayed presentation of cerebral arterial gas embolism following proven intraoperative venous air embolism [J].

Harvey, WR ;

Lee, CJ ;

Koch, SM ;

Butler, BD .

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 1996, 8 (01) :26-29

[4]

HOFMANN S, 1995, ORTHOPADE, V24, P84

[5]

LEHMAN EP, 1924, ARCH SURG-CHICAGO, V9, P621

[6] CARDIOPULMONARY FUNCTION AND PULMONARY MICROEMBOLI DURING ARTHROPLASTY USING CEMENTED OR NONCEMENTED COMPONENTS - THE ROLE OF INTRAMEDULLAR PRESSURE [J].

ORSINI, EC ;

BYRICK, RJ ;

MULLEN, JBM ;

KAY, JC ;

WADDELL, JP .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (06) :822-832

[7] BRIEF REPORT - FULMINATING FAT-EMBOLISM SYNDROME CAUSED BY PARADOXICAL EMBOLISM THROUGH A PATENT FORAMEN OVALE [J].

PELL, ACH ;

HUGHES, D ;

KEATING, J ;

CHRISTIE, J ;

BUSUTTIL, A ;

SUTHERLAND, GR .

NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (13) :926-929

[8] CONTROLLED SEDATION WITH ALPHAXALONE-ALPHADOLONE [J].

RAMSAY, MAE ;

SAVEGE, TM ;

SIMPSON, BRJ ;

GOODWIN, R .

BRITISH MEDICAL JOURNAL, 1974, 2 (5920) :656-659

[9] Cerebral ischemia after venous air embolism in the absence of intracardiac defects [J].

Tommasino, C ;

Rizzardi, R ;

Beretta, L ;

Venturino, M ;

Piccoli, S .

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 1996, 8 (01) :30-34