AI Summary & Key Takeaways
AI InsightIn this study, we aim to assess regional anaesthesia management with combined spinal epidural anaesthesia in a patient who had been followed up with a diag- nosis of leprosy for a long time and was scheduled for operation because of a femoral neck fracture.
📌 3 Key Takeaways
Abstract
Leprosy is a chronic infectious disease that is caused by Mycobac- terium leprae and affects the skin and nerves. Patients with leprosy having related peripheral neuropathy and involvement of other organs may have cardiac, respiratory dysautonomia and autonom- ic dysfunctions. There are very few studies regarding anaesthetic management of patients suffering from leprosy. Moreover, very few studies concerning regional anaesthesia in patients with lepro- matous leprosy have been reported. In this study, we aim to assess regional anaesthesia management with combined spinal epidural anaesthesia in a patient who had been followed up with a diag- nosis of leprosy for a long time and was scheduled for operation because of a femoral neck fracture.
Özet
Lepra; mikobakterium lepranın neden olduğu, deri ve siniri etki- leyen kronik bir enfeksiyon hastalığıdır. Periferik nöropati ve diğer organ tutulumlarının görüldüğü leprada hastalar; kalp ve solunum sisteminde disotonomi ve otonomik tutuluma sahip olabilirler. Lepralı hastanın anestezi yönetimi ile ilgili referanslar literatürde oldukça azdır. Lepramatöz lepralı hastalara rejyonal anestezi uygu- lamaları çok nadir olarak bildirilmiştir. Bu sunuda; uzun süredir lepra tanısıyla takip edilen ve femur boyun kırığı nedeniyle ameli- yatı planlanan olguya kombine spinal epidural anestezi ile yapılan rejyonal anestezi yönetimini sunmayı amaçladık.