| Sudden onset of subarachnoid block after subdural catheterization: a case of arachnoid rupture? | |
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MedLine Citation:
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PMID: 8777121 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a patient who received an apparently uneventful extradural block in labour but developed rapid extension of neural block within minutes of receiving her first incremental dose 2 h later. Computed contrast tomography revealed radio-opaque dye within both the subdural and subarachnoid spaces, but none within the extradural space. This case report demonstrates that subdural spread of low-dose local anaesthetics is not always clinically distinguishable from extradural analgesia and that the arachnoid membrane may subsequently perforate with potentially serious consequences. |
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Authors:
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D W Elliott; F Voyvodic; P Brownridge |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: British journal of anaesthesia Volume: 76 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-09-17 Completed Date: 1996-09-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 322-4 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care, Flinders Medical Centre, South Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analgesia, Epidural / adverse effects* Analgesia, Obstetrical / adverse effects* Arachnoid / injuries* Catheterization / adverse effects* Female Humans Nerve Block* Pregnancy Rupture Subarachnoid Space / radiography Tomography, X-Ray Computed |
| Comments/Corrections | |
Comment In:
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Br J Anaesth. 1996 Dec;77(6):806-7
[PMID:
9014640
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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