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Ketamine for analgesia of lumbosacral plexopathy secondary to the repair of an abdominal aortic aneurysm
Ketamina para analgesia de la plexopatía lumbosacra secundaria a la reparación de un aneurisma de aorta abdominal
dc.creator | Moyano, Jairo | |
dc.creator | Acosta, Eduardo | |
dc.date | 2019-12-13 | |
dc.date.accessioned | 2020-08-21T20:44:51Z | |
dc.date.available | 2020-08-21T20:44:51Z | |
dc.identifier | https://revistasaludbosque.unbosque.edu.co/article/view/2812 | |
dc.identifier | 10.18270/rsb.v9i2.2812 | |
dc.identifier.uri | http://test.repositoriodigital.com:8080/handle/123456789/11023 | |
dc.description | Introduction: Acute postoperative pain after abdominal aortic aneurysm is of high intensity; intraoperative complications may occur that increase nociception. Although opioids are the basis of analgesic treatment, their use is limited by the risk of respiratory depression and its potential for abuse. Ketamine is an option that provides analgesia and decreases the use of opioids. Case presentation: 62-year-old male patient with abdominal aortic aneurysm who underwent endovascular and open repair. In the postoperative period he developed contralateral distal embolism with severe pain in the right buttock that required the stent explant and new revascularization. The pain was described as severe, incidental, with plantar allodynia, decreased proprioception and absence of pulses; electromyography reported moderate to severe axonal polyneuropathy with asymmetric compromise suggestive of plexus injury. Discussion: Bilateral lumbosacral plexus ischemia was suspected, and ketamine was started (bolus = 1mg / kg plus infusion 0.5 mg / kg / hour), with significant improvement. Conclusion: multimodal analgesia with ketamine is useful for postoperative analgesia in abdominal aneurysm repair surgery with improved analgesia and reduced opioid requirements. | en-US |
dc.description | Introducción. El dolor agudo posoperatorio luego de una cirugía abierta de reparación de un aneurisma de la aorta abdominal usualmente es de gran intensidad; adicionalmente, pueden presentarse complicaciones intraoperatorias que aumentan la nocicepción. Aunque los opioides son la base del tratamiento analgésico, su utilización está limitada por el riesgo de depresión respiratoria y su potencial de abuso. La ketamina es una opción que proporciona analgesia y disminuye la utilización de opioides. Presentación del caso. Paciente masculino de 62 años con aneurisma de la aorta abdominal a quien se le realizó reparación endovascular y por laparotomía. En el posoperatorio presentó embolismo distal con dolor severo que requirió explante de endoprótesis y revascularización. El dolor fue descrito como severo a insoportable, de tipo corrientazo e incidental y con alodinia plantar, disminución de la propiocepción y ausencia de pulsos; la electromiografía reportó polineuropatía axonal de expresión moderada a severa con compromiso asimétrico sugestivo de lesión del plexo. Discusión. Se consideró isquemia bilateral de plexo lumbosacro y se adicionó ketamina en infusión (bolo=1 mg/kg más infusión 0.5 mg/kg/hora), con lo cual se obtuvo mejoría significativa sin efectos secundarios y disminución de la necesidad de opioides. Conclusión. La analgesia multimodal con ketamina es útil para tratar el dolor posoperatorio en cirugía de reparación de aneurisma abdominal con reducción de las necesidades de opioides. | es-ES |
dc.format | application/pdf | |
dc.language | spa | |
dc.publisher | Universidad El Bosque | es-ES |
dc.relation | https://revistasaludbosque.unbosque.edu.co/article/view/2812/2247 | |
dc.relation | /*ref*/Bushby N, Wickramasinghe SY, Wickramasinghe DN. Lumbosacral plexopathy due to a rupture of a common Iliac artery aneurysm. Emerg Med Australas. 2010;22(4):351-3. DOI: 10.1111/j.1742-6723.2010.01310.x. | |
dc.relation | /*ref*/Brejt N, Berry J, Nisbet A, Bloomfield D, Burkill G. Pelvic radiculopathies, lumbosacral plexopathies, and neuropathies in oncologic disease: a multidisciplinary approach to a diagnostic challenge. Cancer Imaging. 2013;13(4):591-601. DOI: 10.1102/1470-7330.2013.0052. | |
dc.relation | /*ref*/Gardiner MD, Mangwani J, Williams WW. Aneurysm of the common iliac artery presenting as a lumbosacral plexopathy. J Bone Joint Surg Br. 2006;88(11):1524-6. DOI: 10.1302/0301-620X.88B11.17745. | |
dc.relation | /*ref*/Dyck PJ, Thaisetthawatkul P. Lumbosacral Plexopathy. Continuum: Lifelong Learning in Neurology. 2014;20(5):1343-58. DOI: 10.1212/01.CON.0000455877.60932.d3. | |
dc.relation | /*ref*/Chhetri S, Lekwuwa G, Seriki D, Majeed T. Acute flaccid paraparesis secondary to bilateral ischaemic lumbosacral plexopathy. QJM. 2013;106(5):463-5. DOI: 10.1093/qjmed/hct035. | |
dc.relation | /*ref*/Abdellaoui A, West NJ, Tomlinson MA, Thomas MH, Browning N. Lower limb paralysis from ischaemic neuropathy of the lumbosacral plexus following aorto-iliac procedures. Interact Cardiovasc Thorac Surg. 2007;6(4):501-2. DOI: 10.1510/icvts.2007.151993. | |
dc.relation | /*ref*/Deylgat B, Wallaert P, De Smul G, Van Lysebeth L, Ceuppens H. Unilateral Lower Limb Paralysis After Aortobifemoral Bypass Graft for Ruptured Abdominal Aortic Aneurysm: A Case Report. Vasc Endovascular Surg. 2009;43(6):606-9. DOI: 10.1177/1538574409345032. | |
dc.relation | /*ref*/Maddock MJ, Modi S, Nicholl P, Wee B. Lumbar Sacral Plexopathy—A Rare and Late Complication of Endovascular Aneurysm Repair. J Vasc Interv Radiol. 2013;24(3):448-9. DOI: 10.1016/j.jvir.2012.12.012. | |
dc.relation | /*ref*/Schreuder AH, Fennis TF, Teijink JA, Koehler PJ. Lumbosacral plexopathy associated with aortoiliac occlusive disease. J Neurol. 2007;254(6):803-5. DOI: 10.1007/s00415-006-0421-7. | |
dc.relation | /*ref*/Wider C, Kuntzer T, Von Segesser LK, Qanadli SD, Bogousslavsky J, Vingerhoets F. Bilateral compressive lumbosacral plexopathy due to internal iliac artery aneurysms. J Neurol. 2006;253(6):809-10. DOI: 10.1007/s00415-006-0083-5. | |
dc.relation | /*ref*/Planner AC, Donaghy M, Moore NR. Causes of lumbosacral plexopathy. Clin Radiol. 2006;61(12):987-95. DOI: 10.1016/j.crad.2006.04.018. | |
dc.relation | /*ref*/Özkavukcu E, Çayli E, Yaǧci C, Erden I. Ruptured iliac aneurysm presenting as lumbosacral plexopathy. Diagn Interv Radiol. 2008;14(1):26-8. | |
dc.relation | /*ref*/Gloviczki P, Cross SA, Stanson AW, Carmichael SW, Bower TC, Pairolero PC, et al. Ischemic injury to the spinal cord or lumbosacral plexus after aorto-iliac reconstruction. Am J Surg. 1991;162(2):131-6. DOI: 10.1016/0002-9610(91)90174-c. | |
dc.relation | /*ref*/Abdelhamid MF, Sandler B, Awad RW. Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature. Ann R Coll Surg Engl. 2007;89(5):W12-3. DOI: 10.1308/147870807X188470. | |
dc.relation | /*ref*/Radvansky BM, Puri S, Sifonios AN, Eloy JD, Le V. Ketamine-a narrative review of its uses in medicine. Am J Ther. 2016;23(6):e1414-26. DOI: 10.1097/MJT.0000000000000257. | |
dc.relation | /*ref*/Kim H, Kang SH, Kim DK, Seo KM, Kim TJ, Hong J. Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegia. J Vasc Surg. 2014;59(1):241-3. DOI: 10.1016/j.jvs.2013.04.008. | |
dc.relation | /*ref*/Erstad BL, Patanwala AE. Ketamine for analgosedation in critically ill patients. J Crit Care. 2016;35:145-9. DOI: 10.1016/j.jcrc.2016.05.016. | |
dc.relation | /*ref*/Maher DP, Chen L, Mao J. Intravenous ketamine infusions for neuropathic pain management: A promising therapy in need of optimization. Anesth Analg. 2017;124(2):661-74. DOI: 10.1213/ANE.0000000000001787. | |
dc.relation | /*ref*/Schwenk ES, Viscusi E, Buvanendran A, Hurley RW, Wasan AD, Narouze S, et al. Consensus guidelines on the use of intravenous ketamine infusions for acute pain managment from the American Society of Regional Anesthesia and Pain Medicina, the American Academy of Pain Medicine, and the American Society of Anesthesiologists. Reg Anesth Pain Med.2018;43(5):456-66. DOI: 10.1097/AAP.0000000000000806. | |
dc.rights | http://creativecommons.org/licenses/by-nc/4.0 | es-ES |
dc.source | Revista Salud Bosque; Vol 9 No 2 (2019): Volumen 9. Número 2. Año 2019 | en-US |
dc.source | Revista Salud Bosque; ##issue.vol## 9 ##issue.no## 2 (2019): Volumen 9. Número 2. Año 2019 | es-AR |
dc.source | Revista Salud Bosque; Vol. 9 Núm. 2 (2019): Volumen 9. Número 2. Año 2019 | es-ES |
dc.source | 2322-9462 | |
dc.source | 2248-5759 | |
dc.subject | aneurisma; isquemia; polineuropatía; dolor; ketamina. | es-ES |
dc.title | Ketamine for analgesia of lumbosacral plexopathy secondary to the repair of an abdominal aortic aneurysm | en-US |
dc.title | Ketamina para analgesia de la plexopatía lumbosacra secundaria a la reparación de un aneurisma de aorta abdominal | es-ES |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion |
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