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August 1, 1992Anaesthesia

Failed extradural anaesthesia for Caesarean section. Complication of subsequent spinal block

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Key result

Subarachnoid injection of local anaesthetic after failed extradural anaesthesia for Caesarean section resulted in unexpected high spinal anaesthesia requiring tracheal intubation in 2 cases.

Why the study?

Does subarachnoid injection of local anaesthetic after failed extradural anaesthesia cause unexpected high spinal anaesthesia in patients undergoing Caesarean section?

Population

2 patients undergoing Caesarean section who experienced failed extradural anaesthesia

Design

Case_report

Authors

GBG. N. BECKOsaka University HospitalAGA.G. GRIFFITHSIsland Health

Discussion

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Implication

Alerts to high spinal risk after failed extradural; case reports leave incidence and prevention open.

Study Design

Type

Case Report (n=2)

Structured PICO

Does subarachnoid injection of local anaesthetic after failed extradural anaesthesia cause unexpected high spinal anaesthesia in patients undergoing Caesarean section?

P
Population
2 patients undergoing Caesarean section who experienced failed extradural anaesthesia
I
Intervention
Subarachnoid injection of moderate doses of local anaesthetic (spinal block) following failed extradural anaesthesia
O
Outcome
Unexpected high spinal anaesthesia requiring tracheal intubationsafety

Subarachnoid injection following failed extradural anaesthesia may lead to unexpected high spinal block due to cephalad displacement of cerebrospinal fluid by extradural fluid.

Cite This Study

BECK et al. (1992) conducted a case report in Failed extradural anaesthesia for Caesarean section (n=2). Spinal block (subarachnoid injection of local anaesthetic) was evaluated on Unexpected high spinal anaesthesia requiring tracheal intubation. Subarachnoid injection of local anaesthetic after failed extradural anaesthesia for Caesarean section resulted in unexpected high spinal anaesthesia requiring tracheal intubation in 2 cases.

synapsesocial.com/papers/6a08d715aa03afa536e4aa1ehttps://doi.org/10.1111/j.1365-2044.1992.tb02393.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alkalinised bupivacaine and adrenaline for epidural Caesarean section1988 · 19 citations
  2. 2Epidural and spinal analgesia in obstetrics1992 · 5 citations
  3. 3Subarachnoid anaesthesia for elective Caesarean section1988 · 23 citations
  4. 4Lignocaine 2% with adrenaline for epidural Caesarean section1988 · 23 citations
  5. 5Height, Weight, and the Spread of Subarachnoid Hyperbaric Bupivacaine in the Term Patient1989 · 73 citations