Ultrasound-guided superficial cervical plexus block for carotid endarterectomy in a patient with Lemierre syndrome: A case report
Anesthesia and Pain Medicine
;
: 345-348, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-177914
ABSTRACT
A 70-year-old woman with an infectious thrombus in her left internal jugular vein (IJV) underwent carotid endarterectomy for stenosis and a highly movable plaque in her right carotid artery. She had been treated with antibiotics for four weeks before surgery due to Lemierre syndrome, a rare septic thrombophlebitis in the IJV secondary to an oropharyngeal infection. The right IJV was in a two-fold dilated state due to compensation for a thrombotic left IJV. Accordingly, superficial cervical plexus block was performed under ultrasound guidance to ensure safety and accuracy. During surgery, the alertness was maintained and the patient did not complain of pain in the absence of additional analgesics. No block-related complications were encountered. The authors report for the first time their regional anesthetic experiences in a patient with Lemierre syndrome.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Tromboflebite
/
Trombose
/
Artérias Carótidas
/
Plexo Cervical
/
Ultrassonografia
/
Endarterectomia das Carótidas
/
Constrição Patológica
/
Compensação e Reparação
/
Síndrome de Lemierre
/
Bloqueio do Plexo Cervical
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2016
Tipo de documento:
Artigo
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