目的:脑神经麻痹是腰硬联合麻醉的罕见并发症,并报道了一些声带麻痹(VFP)病例。本文的目的是报道一个案例,确定支持VFP是脊髓和硬膜外麻醉并发症的可能性的证据,并调查频率,的特点,以及这种并发症的可能机制。
方法:完成CINAHL,谷歌学者,科克伦图书馆,Pubmed,和EMBASE。
方法:根据CARE指南进行病例报告;根据PRISMA-ScR标准进行范围审查。所有类型的研究报告了任何年龄和性别的患者,包括所有类型的脊髓/硬膜外麻醉,无论其位置和使用的药物如何.根据全文筛选,为每个选择纳入的研究完成了数据提取表。提取的数据包括:研究特征,参与者特征,干预特点,结果衡量标准,临床调查。该研究没有获得外部资助。
结果:8项研究符合纳入标准,共发生13起事件(12例患者,包括我们的)到目前为止都有报道。尽管关于这些现象背后的机制有一些假设,包括机械性和炎症性的,确切原因尚不清楚。
结论:迄今为止,只有少数病例报道了脊髓或硬膜外麻醉后的VFP;然而,似乎VFP可能是此类手术的潜在漏报并发症.我们认为有必要对该主题进行更多研究,特别是考虑到潜在的危险人群。
方法:NA喉镜,2024.
OBJECTIVE: Cranial nerve paralysis is a rare complication of spinal and epidural anesthesia, and some cases of vocal fold paralysis (VFP) have been reported. The aim of this article is to report a case, identify evidence supporting the possibility of VFP being a complication of spinal and epidural anesthesia and to investigate the frequency, the characteristics, and the possible mechanisms of such a complication.
METHODS: CINAHL Complete, Google Scholar, Cochrane Library, Pubmed, and EMBASE.
METHODS: Case report according to CARE guidelines; scoping
review according to PRISMA-ScR criteria. All types of studies that reported on patients of any age and sex, all types of spinal/epidural anesthesia regardless of the location and of drugs used were included. A data extraction sheet was completed for each study selected for inclusion based on the full-text screenings. Extracted data included: study characteristics, participant characteristics, intervention characteristics, outcome measures, clinical investigations. The study did not receive external funding.
RESULTS: Eight studies met inclusion criteria and a total of 13 events (in 12 patients, including ours) were reported to date. Although there are some hypotheses in regard to the mechanism underlying the phenomena, including mechanical and inflammatory ones, the exact cause is still unclear.
CONCLUSIONS: Only few cases of VFP after spinal or epidural anesthesia have been reported to date; however, it seems possible that VFP might be a potential underreported complication of such procedures. We believe that more research on the topic is warranted, especially considering the wide population potentially at risk.
METHODS: NA Laryngoscope, 134:3477-3484, 2024.