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- W2061735114 abstract "Nous rapportons l'observation d'une patiente de 63 ans opérée pour chirurgie carcinologique gynécologique sous anesthésie générale combinée à une anesthésie péridurale. Celle-ci a été compliquée d'un bloc moteur prolongé de plus de neuf heures malgré l'utilisation des doses recommandées de ropivacaïne. L'évolution a été favorable après l'élimination d'un hématome compressif à l'IRM. La combinaison de l'anesthésie générale et péridurale a montré un avantage quant à l'analgésie per- et postopératoire et à la réhabilitation postopératoire. Cependant, notamment chez le sujet d'un certain âge, il convient de diminuer la posologie des anesthésiques locaux par voie péridurale pour limiter en particulier la durée du bloc moteur. The case described is a patient submitted to an oncologic gynaecological surgery under combined epidural and general anaesthesia. The anaesthesia involved complications, a prolonged motor blockade for up to 9 h whereas recommended doses had been respected. A few later after a magnetic resonance imaging that did not showed any extradural haematoma, full recovery occurred. The combined epidural and general anaesthesia was approved as an interesting technique for both per and postoperative analgesia, but also for postoperative rehabilitation. Nevertheless, for older patients, inhalational anaesthetics and opioids have to be decreased during the intervention, moreover local anaesthetics doses for epidural anaesthesia have to be reduced too, in order to control motor blockade duration." @default.
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- W2061735114 date "2004-07-01" @default.
- W2061735114 modified "2023-09-25" @default.
- W2061735114 title "Bloc moteur prolongé après anesthésie péridurale combinée à l'anesthésie générale pour chirurgie gynécologique carcinologique" @default.
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- W2061735114 doi "https://doi.org/10.1016/j.annfar.2004.02.052" @default.
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