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Safe intrathecal fluorescein use for identification of cerebrospinal fluid leaks: Case-report and perioperative algorithm description. / Uso seguro de fluoresceína intratecal en la localización de las fístulas de líquido cefalorraquídeo: descripción de un caso e implementación de un algoritmo perioperatorio.
Rodríguez-Navarro, M Á; Díaz-Alejo, C; Padilla-Del Rey, M L; Alcaraz, A B; González-Pérez, P; Benítez, M.
Afiliação
  • Rodríguez-Navarro MÁ; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España. Electronic address: marodrigueznavarro@yahoo.es.
  • Díaz-Alejo C; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
  • Padilla-Del Rey ML; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
  • Alcaraz AB; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
  • González-Pérez P; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
  • Benítez M; Departamento de Anestesiología y Reanimación, Hospital General Universitario Morales Meseguer, Murcia, España.
Rev Esp Anestesiol Reanim ; 64(9): 533-536, 2017 Nov.
Article em En, Es | MEDLINE | ID: mdl-28390712
Intrathecal injection of fluorescein is a method for repairing cerebrospinal fluid fistulas. The most frequent surgical procedure is endonasal endoscopy and the purpose of injecting this dye is to locate the fistula. The anaesthesiologists usually perform the puncture, therefore it is necessary to review this method and to specify some anaesthetic considerations such as correct dosing, safe management protocols and medical-legal aspects. In this case-report we describe the pre, intra and postoperative protocol of action implemented in our department that basically consists of: obtaining a specific consent, prior neurological/ophthalmologic assessment to rule out hypertension and brain damage, use of corticosteroids and previous antihistamines, choosing the correct dose and concentration of intrathecal sodium fluorescein (maximum 1ml at a concentration of 5% diluted in 9ml of cerebrospinal fluid) and close intra and postoperative monitoring.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rinorreia de Líquido Cefalorraquidiano / Fluoresceína / Corantes Fluorescentes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies Limite: Aged / Female / Humans Idioma: En / Es Revista: Rev Esp Anestesiol Reanim Ano de publicação: 2017 Tipo de documento: Article País de publicação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rinorreia de Líquido Cefalorraquidiano / Fluoresceína / Corantes Fluorescentes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies Limite: Aged / Female / Humans Idioma: En / Es Revista: Rev Esp Anestesiol Reanim Ano de publicação: 2017 Tipo de documento: Article País de publicação: Espanha