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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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
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author Di Palma, Alessandra
Grassi, Federica
Cantatore, Lea Pia
Tortora, Francesca
Grussu, Francesca
Zama, Mario
Picardo, Sergio Giuseppe
author_facet Di Palma, Alessandra
Grassi, Federica
Cantatore, Lea Pia
Tortora, Francesca
Grussu, Francesca
Zama, Mario
Picardo, Sergio Giuseppe
author_sort Di Palma, Alessandra
collection PubMed
description 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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spelling pubmed-91651972022-06-04 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 Di Palma, Alessandra Grassi, Federica Cantatore, Lea Pia Tortora, Francesca Grussu, Francesca Zama, Mario Picardo, Sergio Giuseppe Clin Case Rep Case Reports 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. John Wiley and Sons Inc. 2022-06-03 /pmc/articles/PMC9165197/ /pubmed/35662774 http://dx.doi.org/10.1002/ccr3.5745 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Di Palma, Alessandra
Grassi, Federica
Cantatore, Lea Pia
Tortora, Francesca
Grussu, Francesca
Zama, Mario
Picardo, Sergio Giuseppe
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Reports
url 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
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