| Inadvertent subdural spread complicating cervical epidural steroid injection with local anaesthetic agent. | |
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MedLine Citation:
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PMID: 14601282 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although cervical epidural steroid injection with local anaesthetic is considered a safe technique and widely practiced, complications may occur. We report a patient experiencing unexpected delayed high block, moderate hypotension and unconsciousness eight to ten minutes after an apparently normal cervical epidural steroid injection. The most probable diagnosis was a subdural block. Anatomical peculiarities of the epidural and subdural space in the cervical region increase the risk of subdural spread during cervical epidural injection. Fluoroscopic guidance is important during cervical epidural injection to increase certainty of correct needle placement, thus minimizing the risk of complications. |
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Authors:
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S Bansal; M J Turtle |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 31 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-06 Completed Date: 2004-04-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 570-2 Citation Subset: IM |
Affiliation:
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Anaesthetic Department, Walsgrave Hospital, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesia, Epidural
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adverse effects*,
methods Anesthesia, Local* Anesthetics, Local / administration & dosage Anti-Inflammatory Agents / administration & dosage, adverse effects Bupivacaine / administration & dosage Hemodynamics / drug effects Humans Male Medical Errors / adverse effects* Middle Aged Muscle Weakness / chemically induced Nerve Block Respiration / drug effects Spinal Osteophytosis / drug therapy Steroids / administration & dosage, adverse effects* Subdural Space / drug effects Triamcinolone Acetonide / administration & dosage, adverse effects Unconsciousness / chemically induced |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 0/Anti-Inflammatory Agents; 0/Steroids; 2180-92-9/Bupivacaine; 76-25-5/Triamcinolone Acetonide |
| Comments/Corrections | |
Comment In:
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Anaesth Intensive Care. 2004 Feb;32(1):145-6
[PMID:
15058141
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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