2014, Number 2
Report of a case of abdominal surgery on a ship, handled with subarachnoid block
Ramírez-Segura EH, Díaz Ponce-Medrano JA
Full text
Language: Spanish
References: 8
Page: 120-122
PDF size: 195.43 Kb.
ABSTRACT
Case report of a male patient 39 years old, previously healthy, belonging to crew’s ship, who was surgically intervened on board. Anesthetic risk: ASA U1B, diagnosed with acute abdomen, who was scheduled for an urgent surgery, once appendectomy had been finished, that was conducted with subarachnoid spinal block (SAB) with a spinal needle 25 G and hyperbaric bupivacaine (15 mg), in which an unexpected behavior type of blocking and from employed drug were obtained, which was observed by setting the blocking levels T3-T4, probably due to movement of the ship. The surgical-anesthetic procedures that are undertaken on board in ships of world navies, are now days a common practice, a critical need for timely attention of their own crew, as result of injuries caused by belic conflicts, work accidents, maladies in general or personnel from other ships who requires medical assistance offshore. Sailboats don’t have to undertake as such military operations, a disadvantage of these ships, as well as the long days of sailing, is their limited cruise speed which delays the timely entry into port, so such contingencies have to be solved on board. In the historical record of the ship’s sanitary section, have been registered more than twenty anesthetic-surgical procedures that have been undertaken on board offshore. 95% of cases has been conducted with regional anesthesia, and by the records found on board, the procedures of the lower body were conducted by epidural block. This is the first case that has been done by using SAB, however, we conclude that the SAB is not the best choice, in such circumstances.REFERENCES