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Clinical Experience of the Lower Extremity Nerve Block for a Neurocritically Ill Patient Who is Not Able to Communicate:A Case Report
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Jun Rho Yoon, Tae Kwan Kim, Je Chun Yu, Yee Suk Kim, In Soo Han, Yong Ju Oh
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Korean J Crit Care Med. 2007;22(1):48-51.
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 Abstract
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- A 73-year-old man was scheduled for the surgical reduction of fractured femur which occurred ar 3 months ago by the accident. The mental status of the patient was stuporous (Glasgow coma scale: 5) due to the complication of the head trauma. We performed nerve blocks (femoral, sciatic, lateral femoral cutaneous, and illiohypogastric nerve blocks) for the surgical reduction of left femur with 55 ml of 0.25% ropivacaine. The electroencephalography was monitored continuously during the 4 hour operation as well as monitoring the hemodynamic and respiratory parameters. The operation was performed successfully and the patient recovered uneventfully.
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Severe Postoperative Delirium Lasting for Three Weeks: A Case Report
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Jun Rho Yoon, Tae Kwan Kim, Su Jung Yoon, Yee Suk Kim, Si Hyun Kim, Man Gyu Kim, Jeong Ju Seo
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Korean J Crit Care Med. 2004;19(1):42-46.
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Abstract
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- Postoperative delirium in the intensive care unit is a serious problem that has recently attracted much attention.
We present a 73-year-old female patient who was admitted by multiple fractures induced by an accident. We started general anesthesia for the operation of open reduction and internal fixation. After the discontinuation of general anesthesia, the patient was transported to the intensive care unit. The symptoms of delirium were developed and controlled with medications including haloperidols, benzodiazepines, and vitamins. The patient was recovered three weeks after the management and received two other operations, but delirium did not be developed again. She was discharged from the hospital without complications.
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KSCCM
