Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin
Abstract A child with a maxillary Ewing sarcoma was operated for tumor asportation and reconstruction with free fibula flap. Adequate anticoagulation was achieved with lower doses of heparin and monitored with multiple ACT values. We used NIRS monitoring to avoid hypoperfusion. Post‐operative pain r...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.5745 |
| _version_ | 1818248270038695936 |
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| author | Alessandra Di Palma Federica Grassi Lea Pia Cantatore Francesca Tortora Francesca Grussu Mario Zama Sergio Giuseppe Picardo |
| author_facet | Alessandra Di Palma Federica Grassi Lea Pia Cantatore Francesca Tortora Francesca Grussu Mario Zama Sergio Giuseppe Picardo |
| author_sort | Alessandra Di Palma |
| collection | DOAJ |
| description | Abstract A child with a maxillary Ewing sarcoma was operated for tumor asportation and reconstruction with free fibula flap. Adequate anticoagulation was achieved with lower doses of heparin and monitored with multiple ACT values. We used NIRS monitoring to avoid hypoperfusion. Post‐operative pain relief was guarantited by local anestethic continous infusion. |
| first_indexed | 2024-12-12T15:17:55Z |
| format | Article |
| id | doaj.art-5a3ed32152034cce8ef351b124d1cf90 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-12-12T15:17:55Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-5a3ed32152034cce8ef351b124d1cf902022-12-22T00:20:27ZengWileyClinical Case Reports2050-09042022-06-01106n/an/a10.1002/ccr3.5745Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparinAlessandra Di Palma0Federica Grassi1Lea Pia Cantatore2Francesca Tortora3Francesca Grussu4Mario Zama5Sergio Giuseppe Picardo6Anesthesia and Intensive Care Department Ospedale Pediatrico Bambino Gesù Roma ItalyAnesthesia and Intensive Care Department Ospedale Pediatrico Bambino Gesù Roma ItalyAnesthesia and Intensive Care Department Ospedali Riuniti di Foggia Roma ItalyAnesthesia and Intensive Care Department Ospedale Pediatrico Bambino Gesù Roma ItalyPlastic Surgery and Maxillofacial Surgery Department of Ospedale Pediatrico Bambino Gesù Roma ItalyPlastic Surgery and Maxillofacial Surgery Department of Ospedale Pediatrico Bambino Gesù Roma ItalyAnesthesia and Intensive Care Department Ospedale Pediatrico Bambino Gesù Roma ItalyAbstract A child with a maxillary Ewing sarcoma was operated for tumor asportation and reconstruction with free fibula flap. Adequate anticoagulation was achieved with lower doses of heparin and monitored with multiple ACT values. We used NIRS monitoring to avoid hypoperfusion. Post‐operative pain relief was guarantited by local anestethic continous infusion.https://doi.org/10.1002/ccr3.5745activated clotting timecontinuous popliteal sciatic nerve blockewing sarcomafree fibula flap |
| spellingShingle | Alessandra Di Palma Federica Grassi Lea Pia Cantatore Francesca Tortora Francesca Grussu Mario Zama Sergio Giuseppe Picardo Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin Clinical Case Reports activated clotting time continuous popliteal sciatic nerve block ewing sarcoma free fibula flap |
| title | Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| title_full | Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| title_fullStr | Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| title_full_unstemmed | Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| title_short | Case report of anesthesia for free fibula flap reconstruction in Ewing sarcoma: Safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| title_sort | case report of anesthesia for free fibula flap reconstruction in ewing sarcoma safety and efficacy of continuous popliteal sciatic nerve block and very low doses of intravenous heparin |
| topic | activated clotting time continuous popliteal sciatic nerve block ewing sarcoma free fibula flap |
| url | https://doi.org/10.1002/ccr3.5745 |
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