Three in one block in a patient with hydrocephalus and sacral agenesis

dc.contributor.authorApan A.
dc.contributor.authorBabadağ Y.
dc.contributor.authorÇetik Ö.
dc.date.accessioned2020-06-25T15:14:39Z
dc.date.available2020-06-25T15:14:39Z
dc.date.issued2011
dc.departmentKırıkkale Üniversitesi
dc.description.abstractWe aimed at presenting successful 3 in 1 femoral nerve block in a patient with hydrocephalus, spina bifida and sacral agenesis, who had femur fracture. A three years old girl has traumatic fracture on right femur. Clinical examination revealed sins for difficult airway including micrognathia and macroglossia. Giant hydrocephalus, spina bifida and sacral agenesis with motor paralysis on lower extremities were concomitant findings that might be problematic in performing general anesthesia or central nerve blocks. We therefore decided to perform 3 in 1 femoral nerve block under light sedation. Midazolam 0.05 mg kg-1 was administered via venous access and a total of 10 ml local anesthetic mixture including 7.5 ml 0.5% levobupivacaine in saline dilution was injected with increments after contractions from quadriceps muscle were elucidated. External fixation was successfully performed without complication and analgesic requirement. Vital signs were stable throughout the surgery and during the early postoperative period. Patient was pain free for six hours during the postoperative period. Peripheral nerve blocks, whenever possible are considered as efficient and safe alternative for anticipated difficult airway in both for surgery and postoperative analgesia.en_US
dc.identifier.endpage193en_US
dc.identifier.issn13000578
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-80054860623
dc.identifier.scopusqualityQ4
dc.identifier.startpage191en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2164
dc.identifier.volume19en_US
dc.indekslendigikaynakScopus
dc.language.isotr
dc.relation.ispartofAnestezi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnesthesia, regionalen_US
dc.subjectFemoral nerve blocken_US
dc.subjectHydrocephalusen_US
dc.subjectSacral agenesisen_US
dc.titleThree in one block in a patient with hydrocephalus and sacral agenesisen_US
dc.title.alternativeHi?drosefali? ve sakral agenezi? olgusunda üç lü femoral bloken_US
dc.typeArticle

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