Real-time ultrasound-guided sacral plexus block combined with mild sedation for hemorrhoidectomy and hemorrhoidal artery ligation in a patient with amyotrophic lateral sclerosis: a case report.

Yan Li, Qianhui Hu, Qian Wang, Taotao Liu, Min Gao

Open access · goldAbstract readCase Reports

In one paragraph

Article in Journal of medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Yan LiDepartment of Anesthesiology, Guangyuan Central Hospital, Guangyuan, 628000, China. nayil0917@163.com.

Qianhui HuDepartment of Anesthesiology, Guangyuan Central Hospital, Guangyuan, 628000, China.

Qian WangDepartment of Anesthesiology, Guangyuan Central Hospital, Guangyuan, 628000, China.

Taotao LiuDepartment of Anesthesiology, Guangyuan Central Hospital, Guangyuan, 628000, China.

Min GaoDepartment of Anesthesiology, Guangyuan Central Hospital, Guangyuan, 628000, China.

Taiyuan Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with amyotrophic lateral sclerosis present perioperative challenges for clinical anesthesiologists for anesthesia-associated complications. CASE PRESENTATION: A 54-year-old Han woman with a 2-year history of amyotrophic lateral sclerosis was scheduled for hemorrhoidectomy and hemorrhoidal artery ligation. We performed real-time ultrasound-guided sacral plexus block with dexmedetomidine under standard monitoring. The anesthesia method met the surgical demands and avoided respiratory complications during the procedures. There was no neurological deterioration after the surgery and 3 months after, the patient was discharged.

conclusionsReal-time ultrasound-guided sacral plexus block combined with mild sedation may be an effective and safe technique in patients with amyotrophic lateral sclerosis undergoing hemorrhoidectomy and hemorrhoidal artery ligation.

Indexed as

Amyotrophic Lateral SclerosisDexmedetomidineHemorrhoidectomyLumbosacral PlexusNerve BlockUltrasonography, InterventionalFemaleHemorrhoidsHumansHypnotics and SedativesLigationMiddle AgedTreatment OutcomeDexmedetomidineHypnotics and SedativesAmyotrophic lateral sclerosisCase reportDexmedetomidineSacral plexus block

Identifiers

PMID38654338

DOI10.1186/s13256-024-04493-4

PMCPMC11041001

OpenAlexW4395080990

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.