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You drive to the hospital to find the patient has already had a stat MRI of his spine, and the diagnosis was a perispinal hematoma at L3. Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. These hematomas may result in long-term or permanent paralysis.
Ultrasound allows for real-time visualization of anatomical structures of the abdominal wall, the advancing needle, and the distribution of local anesthetic, significantly improving the accuracy and safety of these blocks. Other complications may include hematoma, injection site infection, and transient nerve injury.
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The surgeon arrived and attempted to perform an emergency surgical airway, at which time the anesthesiologist successfully intubated the patient’s trachea as the hematoma was drained. Case 4: “Ventilation was difficult and the patient arrested. The patient was resuscitated but later died of anoxic brain damage.” Not really.
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