- 期刊
Convulsions during Superior Laryngeal Nerve Block —A Case Report
喉上神經阻斷術後引起抽搐之病例報告
並列摘要
Complications following local anesthesia for fiberoscope-assisted intubation are rare. We report a case with surgical condition indicating awake endotracheal intubation for general anesthesia, suffering from convulsions after receiving left superior laryngeal nerve block to facilitate the procedure. The possible cause may be accidental injection of the local anesthetic into the vertebral artery. Although the amount of local anesthetic injected was small, its concentration in the brain might be high enough to cause convulsion. The central nervous system toxicity of local anesthetic depends not only on the dosage used, but also on the rate of injection, as well as the site at which it is injected. Starting from a small dose together with careful monitoring of patient’s response is advised when nerve block in the neck is performed. Here, we also emphasize the importance of availability of resuscitation equipment for maintaining adequate ventilation and circulation in case of emergency.
延伸閱讀
- Chen, K. T., Tzeng, J. I., Lu, C. L., Liu, K. S., Chen, Y. W., Hsu, C. S., & Wang, J. J. (2004). 在麻醉後恢復室評估氣管插管所造成手術後咽喉痛之相關危險因子. Acta Anaesthesiologica Taiwanica, 42(1), 3-8. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200403-42-1-3-8-a
- 紀奕彰、賴英秀（2023）。喉返神經損傷患者於新冠肺炎感染後產生喑啞之中醫臨床照護病案報告。中醫內科醫學雜誌，21(1)，29-35。https://doi.org/10.7102/JTCIM.202306_21(1).0003
- Chang, W. L., Hseu, S. S., Wang, C. C., Chang, C. H., Chan, K. H., & Chen, P. T. (2007). 催醒過程中咬斷已排氣喉頭罩而造成嚴重呼吸道阻塞之病例報告. Acta Anaesthesiologica Taiwanica, 45(1), 39-42. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200703-45-1-39-42-a
- 李憲彥（1982）。全身麻醉後的喉部毛病（上）談氣管內插管與喉氣管肉芽腫的關係。健康世界，(76)，83-87。https://doi.org/10.6454/HW.198204.0083
- Wang, L. C., Ma, C. L., Cheung, K. S., Huang, K. S., & Chen, Y. S. (2010). 喉鏡顯微手術後發生Neostigmine誘發的急性心肌梗塞：個案報告. 童綜合醫學雜誌, 4(2), 79-82. https://doi.org/10.29838/TMJ.201012.0005