Cruz GO, Pérez SD, Padilla BTD

Language: Spanish
References: 10
Page: 34-36
PDF size: 73.27 Kb.

ABSTRACT

The brachial plexus is formed by the union of the anterior rami of C5, C6, C7, C8 and T1, the etiology of the lesion in the adult patient can be for firearm projectiles, sharps injuries, tension or stretch plexus during surgery, motorcycle accidents or sports activities, as well as radiation. Although the objective advantages of laparoscopic surgery over the conventional approach, its implementation involves a number of important pathophysiological changes determined by the installation of a pneumoperitoneum of CO2 by placing the patient in Trendelenburg position. These changes induce a number of important clinical implications that manifest at the level of the respiratory, cardiovascular, nervous and Internal environment that lead to the analysis of a set of anesthesiologic considerations aimed at correcting these abnormalities and prevent the development of complications.

REFERENCES

1. Yan Alfen N, Van Engelen BG, Hughes RA. Treatment for idiopathic and hereditary neuralgic amyotrophy (brachial neuritis). Cochrane Database Syst Rev. 2009 Jul 8;(3):CD006976. doi: 10.1002/14651858.CD006976.pub2.

2. Gilbert A. Management and results of treating obstetrical palsy in the new-born. Neurochirurgie. 2009 Oct;55(4-5):427-31. doi: 10.1016/j.neuchi.2009.09.002.

3. 3.Malessy MJ, Pondaag W. Obstetric braquial plexus injuries. Neurosurg Clin N Am. 2009 Jan;20(1):1-14, v. doi: 10.1016/j.nec.2008.07.024.

4. Vargas M, Beaulieu J, Magistris M, Della Santa D, Delavelle J. Aspects cliniques, électroneuromyographiques et IRM des traumatismes du plexus brachial. Clinical findings, electroneuromyography and RMI in trauma of the brachial plexus. Neurosurg Clin N Am. 2009;20(1):1-14.

5. Roig-Vilaa J, García-Armengola J, Bruna-Estebana M, Redondo-Canoa C, Tornero-Ibañez F, García-Aguado R. Posición operatoria en cirugía colorrectal. La importancia de lo básico. Cir Esp [Internet]. 2009 [citado 5 Nov 2009];86(4):204-12. Disponible en: www.aecirujanos.es/revisiones_cirugia/2009/Octubre2_2009.pdf

6. Garozzo D. Las lesiones de plexo braquial. Cómo diagnosticarlas y cuándo tratarlas. Ortho-tips [Internet]. 2012 [citado 21 Mar 2012]:8(1):7-16. Disponible en: http://new.medigraphic.com/cgibin/ resumenMain.cgi?IDARTICULO=34223&IDPUBLICACION=3676&IDREVISTA=72

7. Gasparotti R, Garozzo D, Ferraresi S. Radiographic assessment of adult brachial plexus injuries. Philadelphia: Elsevier Saunders; 2012.

8. Miller RD. Miller´s Anaesthesia. 7ma ed. San Francisco (California): Elsevier; 2009.

9. Jones DR, Lee HT. Surgery in the patient with renal dysfunction. Anesthesiol Clin 2009 Dec;27(4):739-49. doi: 10.1016/j.anclin.2009.09.008

10. Barash PG, Cullen BF, Stoelting RK. Manual de anestesia clínica. 3ra ed. México: McGraw-Hill Interamericana; 1993.