CC BY-NC-ND 4.0 · Indian J Plast Surg 2010; 43(S 01): S85-S87
DOI: 10.1055/s-0039-1699463
Original Article
Association of Plastic Surgeons of India

A new method for release of severe mentosternal contractures under central neuraxial blockade

Vishal Mago
Plastic Surgery Unit, Haldwani, Uttarakhand, India
,
V. B. Singh
1   Department of Anesthesia, Govt. Medical College & Dr. S.T.M Government Hospital, Haldwani, Uttarakhand, India
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
15. Januar 2020 (online)

ABSTRACT

A new method for release of severe mentosternal contractures has been described in this paper under central neuraxial blockade. The contracture release was performed under thoracic epidural analgesia. This technique can benefit patients with mentosternal contractures to avoid the problems of entubation and it can also assist in postoperative recovery and analgesia. The epidural catheter can be used to extend the height or duration of intraoperative block and is also useful to provide postoperative epidural analgesia.

 
  • REFERENCES

  • 1 Bernards CM. Epidural and spinal anaesthesia. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical Anaesthesia. 5th ed. Philadelphia: Lippincott, Williams and Wilkins; 2006.
  • 2 Prithvi Raj P. Textbook of Regional Anaesthesia. New York: Churchill Livingstone; 2002.
  • 3 Cohen M. Mastery of Plastic and Reconstructive Surgery. Boston: Little Brown and Company; 1995.
  • 4 Willschke H, Marhofer P, Bösenberg A, Johnston S, Wanzel O, Sitzwohl C, et al. Epidural catheter placement in children: Comparing a novel approach using ultrasound guidance and a standard loss-of-resistance technique. Br J Anaesth 2006;97:200-7.
  • 5 Ryu HG, Bahk JH, Lee CJ, Lim YJ. The coiling length of thoracic epidural catheters: The influence of epidural approach angle. Br J Anaesth 2007;98:401-4.
  • 6 Tobias JD, Lowe S, O'Dell N, Holcomb GW 3rd. Thoracic epidural anaesthesia in infants and children. Can J Anaesth 1993;40:879-82.
  • 7 Olivier JF, Le N, Choinière JL, Prieto I, Basile F, Hemmerling T. Comparison of three different epidural solutions in off pump cardiac surgery: Pilot study. Br J Anaesth 2005;95:685-91.
  • 8 Gunter JB, Eng C. Thoracic epidural anaesthesia via caudal approach in children. Anaesthesiology 1992;76:935-8.
  • 9 Scherer R, Schmutzler M, Giebler R, Erhard J, Stöcker L, Kox WJ. Complications related to thoracic epidural analgesia:A prospective study in 1071 surgical patients. Acta Anaesthesiol Scand 1993;37:370-4.