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Tytuł pozycji:

Combined Spinal-Epidural for Loop Ileostomy in a Patient With End-Stage Amyotrophic Lateral Sclerosis: A Case Report.

Tytuł:
Combined Spinal-Epidural for Loop Ileostomy in a Patient With End-Stage Amyotrophic Lateral Sclerosis: A Case Report.
Autorzy:
Roth AF; From the Department of Anesthesiology, New York Presbyterian/Weill Cornell Medical Center, New York, New York.
Harris MJ
Źródło:
A&A practice [A A Pract] 2022 May 01; Vol. 16 (5), pp. e01588. Date of Electronic Publication: 2022 May 01.
Typ publikacji:
Case Reports; Journal Article
Język:
English
Imprint Name(s):
Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2018]-
MeSH Terms:
Amyotrophic Lateral Sclerosis*/complications
Amyotrophic Lateral Sclerosis*/surgery
Anesthesia, Epidural*
Anesthesia, Spinal*
Aged ; Anesthesia, General ; Humans ; Ileostomy ; Male
References:
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Thompson AG, Blackwell V, Marsden R, et al. A risk stratifying tool to facilitate safe late-stage percutaneous endoscopic gastrostomy in ALS. Amyotroph Lateral Scler Frontotemporal Degener. 2017;18:243–248.
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Entry Date(s):
Date Created: 20220523 Date Completed: 20220525 Latest Revision: 20220525
Update Code:
20240105
DOI:
10.1213/XAA.0000000000001588
PMID:
35605206
Czasopismo naukowe
Anesthesia can be a challenge for patients with amyotrophic lateral sclerosis (ALS). This progressive neurological disease is associated with a high risk of aspiration and postoperative ventilatory failure. Our patient was a 72-year-old man with ALS, quadriplegia, bulbar symptoms, dysphagia, and dysarthria who underwent palliative exploratory laparotomy and loop ileostomy creation. He received a single-shot spinal anesthetic at L4-L5 and a thoracic T11-12 epidural. He tolerated the procedure well with no perioperative pulmonary complications or worsening of his ALS. To reduce the risks of general anesthesia, we chose a neuraxial approach.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2022 International Anesthesia Research Society.)

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