Key result
Continuous spinal anesthesia was successfully conducted for an emergency exploratory laparotomy using a standard epidural catheter following an accidental dural puncture in a 38-year-old male.
Why the study?
Continuous spinal anesthesia is rarely utilized globally, but could serve as an alternative technique for abdominal and lower limb surgeries following an accidental dural puncture.
Case Report (n=1)
Demonstrates that continuous spinal anesthesia can be successfully used for abdominal surgeries following an accidental dural puncture during epidural placement.
May enable continuous spinal anesthesia with epidural catheters after dural puncture; leaves open need for prospective safety data.
Summary. Emergency exploratory laparotomy conducted under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Background and Objectives. Continuous spinal anesthesia is one of the least utilized regional anesthesia techniques globally. It could be an alternative anesthesia technique for abdominal and lower limb surgeries following an accidental dural puncture. The aim of this report was to describe a case in which continuous spinal anesthesia was successfully conducted for emergency exploratory laparotomy following an accidental dural puncture during epidural placement. Case Report. A 38-year-old male presented to our accident and emergency unit with a one-day history of colicky abdominal pain associated with constipation, abdominal distension, and vomiting. He was diagnosed with intestinal obstruction and underwent an emergency exploratory laparotomy under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Conclusion. This case demonstrates that in case of an accidental dural puncture during epidural placement, the catheter can be advanced into the intrathecal space and continuous spinal anesthesia conducted for abdominal surgeries using a standard epidural catheter.
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Emyedu et al. (2021) conducted a case report in Intestinal obstruction (n=1). Continuous spinal anesthesia using a standard epidural set was evaluated on Successful conduct of continuous spinal anesthesia. Continuous spinal anesthesia was successfully conducted for an emergency exploratory laparotomy using a standard epidural catheter following an accidental dural puncture in a 38-year-old male.
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