Transient aphonia, aphagia and facial tingling following intrathecal administration of fentanyl.
Transient aphonia, aphagia and facial tingling following intrathecal administration of fentanyl.
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DOI：
10.4103/0259-1162.128921
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发表时间：
2014-01
期刊：
影响因子：
--
通讯作者：
Kumar A
中科院分区：
文献类型：
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作者：
Gupta B;Ramchandani S;Balakrishnan I;Kumar A
使用局部麻醉剂和阿片类药物作为辅助剂的蛛网膜下腔阻滞是一项众所周知的技术，具有良好的安全性记录。然而，有报道称，在分娩镇痛或剖腹产的孕妇中服用该药后，会出现一些罕见的神经系统并发症，如失音、吞咽困难和刺痛感。我们报告一例男性患者在鞘内注射布比卡因和芬太尼进行下肢伤口清创后出现暂时性失声、失语和面部刺痛的病例。
Subarachnoid block with local anaesthetic agent and opiod as an adjuvant is a well-known technique with a good record of safety. However, some rare neurological complications like aphonia, dysphagia and tingling sensation have been reported following their administration in pregnant females posted for labour analgesia or caesarean section. We report a case of transient aphonia, aphagia and facial tingling following intrathecal administration of bupivacaine along with fentanyl for lower limb wound debridement in a male patient.