Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report

The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management w...

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Detalles Bibliográficos
Autores principales: Chew, YW, Suppan, VK, Ashutosh, SR, Tew, MM, Jimmy-Tan, JH
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Malaysian Orthopaedic Association 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753527/
https://www.ncbi.nlm.nih.gov/pubmed/29326765
http://dx.doi.org/10.5704/MOJ.1711.001
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author Chew, YW
Suppan, VK
Ashutosh, SR
Tew, MM
Jimmy-Tan, JH
author_facet Chew, YW
Suppan, VK
Ashutosh, SR
Tew, MM
Jimmy-Tan, JH
author_sort Chew, YW
collection PubMed
description The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management was given including high flow oxygenation therapy and spontaneous reabsorption of air was noted five days after surgery. The presence of pneumocephalus should be kept in mind if patient develops neurological complications postoperatively following epidural anaesthesia.
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spelling pubmed-57535272018-01-11 Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report Chew, YW Suppan, VK Ashutosh, SR Tew, MM Jimmy-Tan, JH Malays Orthop J Original Article The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management was given including high flow oxygenation therapy and spontaneous reabsorption of air was noted five days after surgery. The presence of pneumocephalus should be kept in mind if patient develops neurological complications postoperatively following epidural anaesthesia. Malaysian Orthopaedic Association 2017-11 /pmc/articles/PMC5753527/ /pubmed/29326765 http://dx.doi.org/10.5704/MOJ.1711.001 Text en © 2017 Malaysian Orthopaedic Association (MOA). All Rights Reserved http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
spellingShingle Original Article
Chew, YW
Suppan, VK
Ashutosh, SR
Tew, MM
Jimmy-Tan, JH
Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title_full Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title_fullStr Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title_full_unstemmed Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title_short Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
title_sort pneumocephalus following combined spinal epidural anaesthesia for total knee arthroplasty: a case report
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753527/
https://www.ncbi.nlm.nih.gov/pubmed/29326765
http://dx.doi.org/10.5704/MOJ.1711.001
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