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.

Authors :: Di Palma A
Grassi F
Cantatore LP
Tortora F
Grussu F
Zama M
Picardo SG
Source :: Clinical case reports [Clin Case Rep] 2022 Jun 03; Vol. 10 (6), pp. e05745. Date of Electronic Publication: 2022 Jun 03 (Print Publication: 2022).
Publication Year :: 2022
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.<br />Competing Interests: Authors declare no competing interests.<br /> (© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)

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