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KMID : 0604020070220010048
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Korean Journal of Critical Care Medicine
2007 Volume.22 No. 1 p.48 ~ p.51
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Clinical Experience of the Lower Extremity Nerve Block for a Neurocritically Ill Patient Who is Not Able to Communicate
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Yoon Jun-Rho
Kim Tae-Kwan
Yu Je-Chun
Kim Yee-Suk
Han In-Soo
Oh Yong-Joo
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Abstract
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A 73-year-old man was scheduled for the surgical reduction of fractured femur which occurred ar 3 months ago by the accident. The mental status of the patient was stuporous (Glasgow coma scale: 5) due to the complication of the head trauma. We performed nerve blocks (femoral, sciatic, lateral femoral cutaneous, and illiohypogastric nerve blocks) for the surgical reduction of left femur with 55 ml of 0.25% ropivacaine. The electroencephalography was monitored continuously during the 4 hour operation as well as monitoring the hemodynamic and respiratory parameters. The operation was performed successfully and the patient recovered uneventfully.
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KEYWORD
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Lower extremity nerve block, Monitoring, Neurocritical illness
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