PDF(Pubmed)
Abstract：
In this case, we present a lesser-known application of regional anesthesia, specifically, managing a patient with vasospasm and retained radial artery (RA) vascular sheath after coronary angiography. Providing an ultrasound-guided supraclavicular block, in combination with general anesthesia, allowed the proceduralist to remove the retained sheath after several hours of failed treatment and manipulation. Severe arterial spasm was alleviated by eliciting a sympathectomy, along with analgesia of the right upper extremity, and maintaining this post-procedure. The block optimized arterial flow through the RA post-intervention and helped manage the patients\' pain from manipulation.
摘要：
在这种情况下,我们提出了一种鲜为人知的区域麻醉应用，具体来说,治疗冠状动脉造影后血管痉挛和保留桡动脉（RA）血管鞘的患者。提供超声引导锁骨上阻滞，结合全身麻醉，允许程序医生在数小时的治疗和操作失败后移除保留的鞘。严重的动脉痉挛通过引发交感神经切除术得到缓解，伴随着右上肢的镇痛，并保持这个后程序。该块优化了干预后通过RA的动脉流量，并帮助管理患者的操作疼痛。
