Document Detail


Unintentional combined epidural and subdural block. Case report.
MedLine Citation:
PMID:  7547665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Unintentional subdural block, while attempting an epidural anesthetic, is a rare but known complication. The authors describe a radiologically confirmed case of an unintentional combined epidural and subdural block while attempting to perform an epidural block for transurethral resection of prostate in a middle-aged man. METHODS: Loss of resistance to air injection was used for identifying the epidural space prior to catheter placement. Following the epidural injection of 20 mL of a 1.5% lidocaine and 0.5% bupivacaine mixture, the patient developed rapid, intense, prolonged, and extensive bilateral motor block up to C2 level. RESULTS: The patient had aphonia and respiratory paralysis requiring endotracheal intubation and controlled ventilation for 3 hours. CONCLUSIONS: Postoperative radiologic examination revealed the spread of the dye in both epidural and subdural spaces, causing the extensive sensory and motor block.
Authors:
S Chauhan; A Gaur; M Tripathi; S Kaushik
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  20     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1995 May-Jun
Date Detail:
Created Date:  1995-11-13     Completed Date:  1995-11-13     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  249-51     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Epidural / adverse effects*
Anesthetics, Local / adverse effects*
Bupivacaine / adverse effects*
Humans
Intraoperative Complications
Lidocaine / adverse effects*
Male
Middle Aged
Nerve Block*
Prostatectomy
Respiration, Artificial
Respiratory Paralysis / etiology,  therapy
Subdural Space*
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 137-58-6/Lidocaine; 2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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