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Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typical...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530273/ https://www.ncbi.nlm.nih.gov/pubmed/31143700 http://dx.doi.org/10.4103/ajm.AJM_73_18 |
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author | Alfahel, Waseem S. Dabbous, Alia S. Thompson, Mark E. |
author_facet | Alfahel, Waseem S. Dabbous, Alia S. Thompson, Mark E. |
author_sort | Alfahel, Waseem S. |
collection | PubMed |
description | Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions. |
format | Online Article Text |
id | pubmed-6530273 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-65302732019-05-29 Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities Alfahel, Waseem S. Dabbous, Alia S. Thompson, Mark E. Avicenna J Med Case Report Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6530273/ /pubmed/31143700 http://dx.doi.org/10.4103/ajm.AJM_73_18 Text en Copyright: © 2019 Avicenna Journal of Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Alfahel, Waseem S. Dabbous, Alia S. Thompson, Mark E. Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title | Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title_full | Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title_fullStr | Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title_full_unstemmed | Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title_short | Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
title_sort | epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530273/ https://www.ncbi.nlm.nih.gov/pubmed/31143700 http://dx.doi.org/10.4103/ajm.AJM_73_18 |
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