[Case report: bleeding complications and regional anesthesia--risks and benefits].
After collapsing, a 70-year-old patient with certain comorbidities developed an extensive hematoma of the lower leg because of anticoagulation-therapy. For operative intervention the patient received general anesthesia, because of the risk of bleeding. As a consequence a severe hypotonia occurred with renal failure. For revision, the patient received peripheral regional anesthesia despite an elevated bleeding risk. Risk-benefit analysis in case of an elevated bleeding risk while performing peripheral regional anesthesia will be discussed.
BG Unfallklinik Murnau.
Michael
M
Neuburger
Johannes
J
Büttner
Dorothea
D
Lang
D000368:Aged; D000765:Anesthesia, Conduction / Q000379:methods*; D018681:Anesthetics, General / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000601:surgery*; D006801:Humans; D007866:Leg; D009123:Muscle Hypotonia / Q000139:chemically induced* / Q000517:prevention & control*; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors
D018681:Anesthetics, General; D000925:Anticoagulants