Combined Spinal-Epidural Anesthesia for Subtotal Colectomy in a Patient With Hamman Syndrome and Epidural Pneumatosis: A Case Report

被引：0

作者：

Oshimizu, Mio ^{[1
]}

Yamaguchi, Yoshikazu ^{[1
]}

Tsuboi, Sayaka ^{[1
]}

Sugawara, Yoh ^{[1
]}

Hayami, Hajime ^{[1
]}

Tobias, Joseph D. ^{[2
,3
]}

Inagawa, Gaku ^{[1
]}

机构：

[1] Yokohama Municipal Citizens Hosp, Dept Anesthesiol, Yokohama, Kanagawa, Japan

[2] Nationwide Childrens Hosp, Dept Anesthesiol & Pain Med, Columbus, OH USA

[3] Ohio State Univ, Columbus, OH 43210 USA

来源：

A & A PRACTICE | 2021年 / 15卷 / 08期

关键词：

D O I：

10.1213/XAA.0000000000001511

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

It remains unclear how epidural pneumatosis affects the efficacy of neuraxial anesthesia. Spontaneous pneumomediastinum (Hamman syndrome) with epidural pneumatosis is rare. Regardless of its etiology, general anesthesia with positive pressure ventilation in patients with pneumomediastinum carries the risk of pneumothorax. We present a 19-year-old patient with Hamman syndrome and epidural pneumatosis who required emergency laparotomy. Effective analgesia was obtained using neuraxial anesthesia with a combined spinal-epidural anesthesia technique.

引用

页数：4

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