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Korean J Crit Care Med > Volume 22(1); 2007 > Article
Korean Journal of Critical Care Medicine 2007;22(1): 48-51.
의사소통이 불가능한 신경외과적 중환자에서 하지 신경블록 -증례 보고-
윤준로ㆍ김태관ㆍ유제춘*ㆍ김의숙ㆍ한인수ㆍ오용주
가톨릭대학교 의과대학 마취과학교실, *을지대학교 의과대학 정신과학교실
Clinical Experience of the Lower Extremity Nerve Block for a Neurocritically Ill Patient Who is Not Able to Communicate:A Case Report
Jun Rho Yoon, Tae Kwan Kim, Je Chun Yu, Yee Suk Kim, In Soo Han, Yong Ju Oh
1Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea. pauly@catholic.ac.kr
2Department of Psychiatry, College of Medicine, The Eulji University, Daejeon, Korea.
ABSTRACT
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.
Key Words: Lower extremity nerve block; Monitoring; Neurocritical illness
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