Abstract:
BACKGROUND AND OBJECTIVES:Foot drop in postoperative period is very rare after spinal anesthesia. Early clinical assessment and diagnostic interventions is of prime importance to establish the etiology and to start appropriate management. Close follow-up is warranted in early postoperative period in cases when patient complain paresthesia or pain during needle insertion or drug injection. CASE REPORT:A 22-year-old male was undergone lower limb orthopedic surgery in spinal anesthesia. During shifting from postoperative ward footdrop was suspected during routine assessment of regression of spinal level. Immediately the patient was referred to a neurologist and magnetic resonance imaging was done, which was inconclusive. Conservative management was started and nerve conduction study was done on the 4th postoperative day that confirmed pure motor neuropathy of right peroneal nerve. Patient was discharged with ankle splint and physiotherapy after slight improvement in motor power (2/5). CONCLUSIONS:Foot drop is very rare after spinal anesthesia. Any suspected patient must undergo emergent neurological consultation and magnetic resonance imaging to exclude major finding and need for early surgical intervention.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Goyal VK,Mathur Vdoi
10.1016/j.bjan.2017.09.007subject
Has Abstractpub_date
2018-01-01 00:00:00pages
412-415issue
4eissn
0034-7094issn
1806-907Xpii
S0034-7094(17)30111-3journal_volume
68pub_type
杂志文章abstract:BACKGROUND AND OBJECTIVES:Aortic flow suppression and release during aortic procedures promote major hemodynamic disorders. This study aimed at evaluating these disorders in dogs anesthetized with isoflurane or sevoflurane. METHODS:This study involved 41 dogs divided in two groups according to the anesthetic agent use...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000300004
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Postoperative dysphonia is commonly associated to tracheal intubation and extubation complications, but other causal factors may be involved, including surgical procedures. This article aimed at reporting a late postoperative dysphonia as a consequence of left vocal cord paralysis secondary to...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Propofol infusion syndrome has been described as a rare, and frequently fatal, syndrome that occurs after prolonged infusion of this drug. It might result in severe metabolic acidosis, rhabdomyolysis, cardiovascular failure, and death. The objective of this report was to review the literature ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000500009
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:The role of type I thyroplasty (TIP) is well established as the treatment for glottal insufficiency due to vocal fold paralysis, but the ideal anesthetic management for this procedure is still largely debated. We present the case of a novel anesthetic approach for TIP using combined intermediate and superfic...
journal_title:Revista brasileira de anestesiologia
pub_type:
doi:10.1016/j.bjan.2020.08.002
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Magnesium is predominantly an intracellular ion. Its blocking effects on NMDA receptors are responsible for the analgesic and sedative characteristics of this ion. The objective of this study was to review the physiology, pharmacology, and decreased plasma levels of magnesium, as well as its a...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1016/s0034-7094(10)70013-1
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The SAPS 3 (Simplified Acute Physiology Score 3) prognostic system is composed of 20 parameters, represented by an acute physiology score and assessment of the previous status, aimed at establishing a predictive mortality index for patients admitted to intensive care units (ICU). The objective...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Dexmedetomidine is a highly selective alpha2-adrenoceptor agonist used in anesthesia for its hypnoanalgesic and cardiovascular effects. Stimulation of alpha2-adrenoceptors may determine pro and anti-platelet aggregation effects through direct and indirect mechanisms. This study aimed at determ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000600002
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The discontinuation of drugs such as angiotensin-converting enzyme inhibitors (ACE inhibitors) has been suggested based on reports of hypotension during anesthesia. This may imply on a higher risk of intraoperative hypertensive peaks with deleterious consequences for the patient. The objective...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Univentricular heart is a complex, rare, and severe cardiopathy, with no possibility of curative surgical treatment, associated with a high mortality in the first years of life. The objective of this article was to describe a rare case of an adult patient with uncorrected single ventricle who ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000300007
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residual postoperative paralysis impairs airway patency increasing the risk for postoperative complications. Anti-cholinesterase agents improve neuromuscular transmission by acetylcholine build up in the endplate. However, when there is no longer neostigmine effect, 'recurarization' is theoret...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000400008
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Since the beginning, soda lime use has presented some complications which resulted in its difficult application. However major advantages such as decreasing fresh gas flow, anesthetic consumption and operating room pollution, and improving breathing system and airway humidity, have pushed rese...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000300015
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Low back pain syndromes are major causes of morbidity and disability. Their therapeutic management is often based on conservative measures, such as rest, analgesia, physical therapy, and even surgical and rehabilitation procedures. This study aimed at describing the use of epidural steroids to...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000100017
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Dilated cardiomyopathy is a state of progressive enlargement of cardiac chambers mainly left ventricle which leads to decreased cardiac output and ultimately cardiac failure. Although it has multifactorial etiology, it is quite common in patients with end stage renal disease who require renal ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2019.06.002
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:Morbidity and mortality associated with urgent or emergency surgeries are high compared to elective procedures. Perioperative risk scores identify the non-elective character as an independent factor of complications and death. The present study aims to characterize the population undergoing non-elective su...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2018.04.001
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The quadratus lumborum blockade was described by R. Blanco in its two approaches (I and II). The local anesthetic deposition in this location can provide blockade to T6-L1 dermatomes. We performed this fascia blockade guided by ultrasound for treating a chronic neuropathic pain in the abdomina...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.08.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Clinical trials with local anesthetic levo-enantiomers have shown higher safety due to lower cardiotoxicity. This study aimed at evaluating quality of anesthesia and maternal/fetal repercussions of 0.5% bupivacaine, enantiomeric 0.5% bupivacaine (S75-R25) and 0.75% ropivacaine, all associated ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000200005
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:One-lung ventilation and selective intubation in neonates can be challenging due to intrinsic physiological specificities and material available. Ultrasound (US) is being increasingly used in many extents of anaesthesiology including confirmation of endotracheal tube position. CASE REPORT:We ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2019.06.014
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Costoclavicular brachial plexus block is an anesthesia performed through the infraclavicular route described in the literature as a safe and effective route for upper limb anesthesia distal to the elbow. The following report describes the case of a patient whose traditional plexus blocking tec...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2019.01.004
更新日期:2019-01-01 00:00:00
abstract::Through the Life Cycle of Intraoperative Transesophageal Echocardiography (ETTI/SBA) the Brazilian Society of Anesthesiology, together with the Department of Cardiovascular Image of the Brazilian Society of Cardiology (DIC/SBC), createded a task force to standardize the use of intraoperative transesophageal echocardio...
journal_title:Revista brasileira de anestesiologia
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1016/j.bjan.2017.07.004
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributab...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.09.002
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Pain is an aggravating factor in postoperative morbidity and mortality especially in large size surgeries. Methods to effectively fend pain collide with elevated costs and for this reason they are not accessible in every service. The option would be the use of an opioid with long half-life, su...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
doi:10.1016/S0034-7094(11)70078-2
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Tramadol hydrochloride is a centrally-acting synthetic opioid analgesic binding to specific opioid receptors. It is used in the management of chronic pain and is recommended as first line drug in the treatment of postoperative or orthopedic injury induced acute pain. The present work is design...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.10.006
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The objective of this report was to show the importance of pre-anesthetic assessment in reducing morbidity and mortality of surgical patients and alert to problems and anesthetic care associated with obstructive sleep apnea. CASE REPORT:This is a 28-year old male patient with class II obesity...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(11)70088-5
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Von Willebrand's disease is the most common hereditary coagulation disorder in young women. The incidence of HIV infection among women has been progressively increasing, and vertical transmission may account for 25% of cases. This report aimed at describing the case of an HIV-positive patient ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000600006
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Problems with pediatric airways are among the greatest challenges an anesthesiologist can face. Laryngeal spasm, which is twice or three times more frequent in the pediatric population, is paramount. The objective of this work was to report the treatment of laryngeal spasm applying digital pre...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000600008
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There are no statistical data on the use of neuromuscular blockers in Brazil. This study aimed at statistically analyzing this topic. METHODS:Our study has compiled 831 answers to a questionnaire filled by anesthesiologists attending the 48th Brazilian Congress of Anesthesiology in Recife, 20...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000600016
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Vater association is a polytopic disorder including several malformations of which radial hypoplasia is the most common observed at birth. This report aimed at describing a case of Vater association in a child submitted to renal transplantation. CASE REPORT:Male patient, 11 years old, 23 kg, ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000300010
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:It is known that acute postoperative pain has a major influence on surgical patients recovery. Early movements, shorter hospital stay, lower costs and higher satisfaction are results of adequate pain management. There is a world trend toward specialized postoperative pain management services. ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000600012
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Minimum anesthetic volume (MAV) of local anesthetics corresponds to the effective volume for regional anesthesia in 50% of patients. In this study, MAV of 0.5% racemic bupivacaine, 0.5% levobupivacaine and enantiomeric S75/R25 bupivacaine were calculated and compared. METHODS:This study invol...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942005000300002
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Gabapentin has been used as adjuvant in the treatment of postoperative pain with a neuropathic component. It is responsible for the inhibition of central sensitization, decreasing postoperative pain. CONTENTS:All clinical, randomized studies that evaluated the effects of gabapentin on postope...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1590/s0034-70942009000100012
更新日期:2009-01-01 00:00:00