• Ann Fr Anesth Reanim · Nov 2007

    Case Reports

    [Total spinal anesthesia after interscalenic plexus block].

    • D Frasca, D Clevenot, A Jeanny, L Laksiri, F Petitpas, and B Debaene.
    • Service d'anesthésie et de réanimation chirurgicale, centre hospitalo-universitaire de Poitiers, rue de la Miletrie, BP 577, 86021 Poitiers cedex, France. denis.frasca@gmail.com
    • Ann Fr Anesth Reanim. 2007 Nov 1;26(11):994-8.

    AbstractThe interscalenic block prolonged by a catheter allows an optimal analgesia for important surgery of the shoulder. Its realization is easy but exposes to potentially serious complications. We report a case of spinal anaesthesia due to the accidental catheterization of the medullar canal at the time of an interscalenic block. An examination by tomodensitometry showed images of myelography explained by the injection of non ionic contrast media agent in the catheter at the time of X-ray control. The regression of neurological signs was fast and without after-effect. This observation recalls that in spite of all the safety measures, the realization of locoregional anaesthesia can be burdened with accidents. The proscription of a major sedation and the use of short needles are elementary rules to realize the interscalenic block. The improvement of puncture techniques, ultra-sound location or use of stimulative catheters can decrease the risk of this kind of accident.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…