Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin

A child with a maxillary Ewing sarcoma was operated for tumor asportation and reconstruction with free fibula flap. Adequate anticoagulation was achieved with lower doses of heparin and monitored with multiple ACT values. We used NIRS monitoring to avoid hypoperfusion. Post‐operative pain relief was...

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Detalles Bibliográficos
Autores principales: Di Palma, Alessandra, Grassi, Federica, Cantatore, Lea Pia, Tortora, Francesca, Grussu, Francesca, Zama, Mario, Picardo, Sergio Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9165197/
https://www.ncbi.nlm.nih.gov/pubmed/35662774
http://dx.doi.org/10.1002/ccr3.5745
Descripción
Sumario:A child with a maxillary Ewing sarcoma was operated for tumor asportation and reconstruction with free fibula flap. Adequate anticoagulation was achieved with lower doses of heparin and monitored with multiple ACT values. We used NIRS monitoring to avoid hypoperfusion. Post‐operative pain relief was guarantited by local anestethic continous infusion.

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