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Titolo:
Epidural abscess after epidural catheter for pain release during pancreatitis
Autore:
Heller, AR; Ragaller, M; Koch, T;
Indirizzi:
Tech Univ Dresden, Hosp Carl Gustav Carus, Dept Anaesthesiol & Intens CareMed, D-01307 Dresden, Germany Tech Univ Dresden Dresden Germany D-01307 eMed, D-01307 Dresden, Germany
Titolo Testata:
ACTA ANAESTHESIOLOGICA SCANDINAVICA
fascicolo: 8, volume: 44, anno: 2000,
pagine: 1024 - 1027
SICI:
0001-5172(200009)44:8<1024:EAAECF>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESPIRATORY-DISTRESS-SYNDROME; NECROTIZING PANCREATITIS; ANALGESIA; ANESTHESIA; EXPRESSION; PROTECTS; PATIENT; INJURY; LUNG;
Keywords:
epidural catheter; epidural abscess; epidural hematoma; pancreatitis; diabetes; immune deficiency; natural killer cells;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Heller, AR Tech Univ Dresden, Hosp Carl Gustav Carus, Dept Anaesthesiol & Intens CareMed, Fetscherstasse 74, D-01307 Dresden, Germany Tech Univ Dresden Fetscherstasse 74 Dresden Germany D-01307 ny
Citazione:
A.R. Heller et al., "Epidural abscess after epidural catheter for pain release during pancreatitis", ACT ANAE SC, 44(8), 2000, pp. 1024-1027

Abstract

Background: Despite knowledge about compromised host defence in the courseof diabetes mellitus and pancreatitis, epidural analgesia (EA) is recommended for pain management during pancreatitis. Case report: We present the case of a diabetic patient with pancreatitis who developed an epidural abscess after 3 days with an epidural catheter. Natural killer and T-helper cell counts were distinctively reduced in the absence of HIV serology. Furthermore, a synthesis failure of the liver was observed and evidenced by low cholinesterase, low whole protein fraction and low antithrombin III in the peripheral blood. Conclusion: We suggest that the combination of pancreatitis, diabetes and compromised immunity might be a contraindication to epidural analgesia.

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Documento generato il 11/08/20 alle ore 21:56:18