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Brugada Syndrome Patient Undertaken Brachial Plexus Block
Yun-Sic Bang,Seon-Yi Lee,Daeun Ko,Junbeom Park,Sowoon Ahn,Chunghyun Park 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.4
Brugada syndrome is an arrhythmic syndrome characterized by right bundle branch block, ST segment elevation in the precordial lead (V1–V3), and sudden death caused by ventricular fibrillation, which is not effectively prevented by anti-arrhythmic drug therapy. We are reporting a 30-year-old male patient with Brugada syndrome who got an exploratory laparotomy and a tenorrhaphy due to stab wound which was managed with general anesthesia and brachial plexus block without any complications.
Epidural Hematoma after Incidental Removal of an Epidural Catheter in a Patient Receiving Enoxaparin
( Duk-hee Chun ),( Jong Chan Kim ),( Sun Ok Kim ),( Eunsun So ),( Seongsu Kim ),( Sowoon Ahn ) 경희대학교 경희의료원 2016 慶熙醫學 Vol.31 No.1
We report a case of an epidural hematoma following a combined spinal-epidural anesthesia and analgesia. A patient undergoing total knee arthroplasty was postoperatively treated with enoxaparin for thromboprophylaxis. The patient developed the neurologic symptoms after 14 hours from the unintentional removal of an epidural catheter. And the diagnosis was delayed for 28 hours after the appearance of the first symptoms. The neurological recovery was complete even though the evacuation of the hematoma was only performed 30 hours after the appearance of the initial symptoms. One must pay attention to the delayed onset of neurologic symptoms when epidural catheters are removed earlier than intended during thromboprophylaxis. Prolonged close neurological observation, an additional fixation method and prophylactic protamine reversal may be considerable to manage the patients who use enoxaparin.