oa Southern African Journal of Anaesthesia and Analgesia - The use of ultrasonography in the perioperative management of penetrating chest trauma with indwelling blade : case report
|Article Title||The use of ultrasonography in the perioperative management of penetrating chest trauma with indwelling blade : case report|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Affiliations||1 Stanger Hospital and 2 Stanger Hospital|
|Publication Date||Jan 2014|
|Pages||245 - 248|
|Keyword(s)||Focus assessed transthoracic echocardiography (FATE), Paraverterbral block, Penetrating thoracic injury, Thoracotomy and Ultrasound-guided regional anaesthesia|
We report on the anaesthetic and postoperative analgesic management of a patient presenting with a single penetrating thoracic injury, with radiological confirmation of a foreign object still present in the thorax. The patient underwent an emergency right posterolateral thoracotomy. We discuss the use of ultrasound for the insertion of a paravertebral catheter for perioperative analgesic management, and its efficacy in the emergency setting. Furthermore, we discuss the use of perioperative focus assessed transthoracic echocardiography, which had a positive impact on our management, although the case highlights the need for further large multi-centre trials.
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