Key result
Lumbar plexus block using the Chayen technique resulted in an unusual complication of total spinal block and unconsciousness in a 76-year-old male patient.
Case Report (n=1)
Total spinal block is a rare but severe complication of lumbar plexus block, emphasizing the need for continuous patient monitoring and contact during the procedure.
Alerts to possible total spinal block during Chayen lumbar plexus block; leaves open questions on incidence and prevention in elderly patients.
Lumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total spinal block, an unusual complication. LPB with sciatic block was planned for a male patient, 76 years old, scheduled for total knee replacement due to gonarthrosis. The patient became unconscious after psoas compartment block with Chayen technique for LPB. The operation ended at 145th minute. The patient was admitted to intensive care unit until postoperative second day and discharged to home on fifth day of surgery. Main concern of patient monitorization should be an anesthesiologist. In this manner, we conclude that contacting to the patient should be ensured during these procedures.
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Doğan et al. (2013) conducted a case report in Gonarthrosis (n=1). Lumbar plexus block (psoas compartment block with Chayen technique) was evaluated on Total spinal block. Lumbar plexus block using the Chayen technique resulted in an unusual complication of total spinal block and unconsciousness in a 76-year-old male patient.
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