RESUMO
Postherpetic neuralgia is a common and potentially debilitating neuropathic pain condition. Current pharmacologic therapy can be inadequate and intolerable for patients. We present a case of a gentleman with refractory postherpetic neuralgia in the intercostobrachial nerve distribution that was successfully treated with cryoneurolysis/cryoanalgesia therapy.
Assuntos
Anestesia Epidural/métodos , Anestesia por Inalação/métodos , Anormalidades do Sistema Digestório/cirurgia , Volvo Intestinal/cirurgia , Bloqueio Neuromuscular/métodos , Dor Pós-Operatória/prevenção & controle , Pré-Escolar , Meios de Contraste/administração & dosagem , Feminino , Técnica de Fontan , Cardiopatias Congênitas/complicações , Cardiopatias Congênitas/cirurgia , Síndrome de Heterotaxia/complicações , Humanos , Dor Pós-Operatória/etiologia , Rocurônio/administração & dosagem , Sevoflurano/administração & dosagem , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Inadvertent placement of a tracheostomy tube through the stoma with the distal tip cephalad in the pharynx is an unusual but potentially devastating complication. Previously reported only once in the literature, its occurrence is not well known. There are several causes of ineffective ventilation after an emergency surgical airway, and an incorrectly placed tracheostomy tube is a differential diagnosis to consider. Prompt identification of this rare complication is essential because the consequences can be fatal. We present a case describing the inadvertent insertion of a tracheostomy tube into the pharynx during emergency tracheostomy and its subsequent management.
