Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
نویسندگان
چکیده
The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management was given including high flow oxygenation therapy and spontaneous reabsorption of air was noted five days after surgery. The presence of pneumocephalus should be kept in mind if patient develops neurological complications postoperatively following epidural anaesthesia.
منابع مشابه
Bilateral simultaneous total knee replacement under combined spinal epidural anaesthesia.
This is a case report of 68 yrs old lady who underwent simultaneous both knee joint replacement for chronic and advanced osteoarthritis. The case was performed solely under combined spinal and epidural anaesthesia (CSE). CSE is a neuroaxial block performed for different types of lower limb and abdominal surgeries.
متن کاملPneumocephalus Following Combined Spinoepidural Anesthesia: A Case Report
Various complications may develop as a result of epidural anesthesia. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 61 years old patient was admitted for hip fracture and planned to have hip replacement surgery. Combined spinoepidural anesthesia was planned during surgery as anesthetic tehchnique. Epidural catheter was inserted for postoperative ...
متن کاملREGIONAL ANAESTHESIA High-volume local infiltration analgesia combined with intravenous or local ketorolac1morphine compared with epidural analgesia after total knee arthroplasty
Key points † After total knee arthroplasty, local infiltration analgesia (LIA) with intra-articular ketorolac and morphine was superior to epidural anaesthesia after the initial 24 h. † Epidural anaesthesia offered better initial pain relief, despite more common side-effects such as hypotension at the post-anaesthetic care unit. † Ketorolac and morphine showed a superior therapeutic balance whe...
متن کاملBrucella Arthritis Following Total Knee Arthroplasty in a Patient with Hemophilia: A Case Report
Total knee arthroplasty (TKA) is a rewarding procedure in patients with hemophilia and end stage knee hemophilicarthropathy. However, this procedure might be associated with complications such as infection. There periprostheticjoint infection in patients with hemophilia is very well known, though we are not aware of any previous report on Brucellainfection in this group of patients. Here, we re...
متن کاملSpinal epidural hematoma after epidural anesthesia in a patient receiving enoxaparin -A case report-
Spinal epidural hematoma is a rare but serious neurological complication of neuraxial anesthesia. Enoxaparin sodium is a low molecular weight heparin (LMWH) for use in preventing deep venous thrombosis in patients undergoing total hip arthroplasty and total knee arthroplasty. Hemorrhage is an uncommon but documented adverse reaction when using LMWH. We report a case of epidural hematoma after l...
متن کامل