Complication Of Spinal Anesthesia Research Articles

Bradycardia and asystolic cardiac arrest during spinal anaesthesia: A report of five cases

Sudden, severe bradycardia/asystolic cardiac arrest are considered infrequent, but are certainly the most serious complications of spinal anaesthesia. We report four cases of primary asystole and one of severe bradycardia in young to middle-aged, healthy patients scheduled for minor surgery at the day surgery unit. Bradycardia/asystole were not related to respiratory depression or hypoxaemia/hypercarbia; they occurred at different time intervals after the onset of spinal anaesthesia (10-70 min) and, apparently, were not dependent on the level of sensory block, which varied between T3 and T8. One patient was nauseated seconds before the asystole, otherwise there was no warning signs. All the patients were easily resuscitated with the prompt administration of atropine and ephedrine and, in the case of cardiac arrest, cardiac massage and ventilation with oxygen. One patient was treated with a small dose of adrenaline. Four patients had the surgery, as planned; one had the surgery postponed. All the patients were discharged from hospital in good health and did not suffer any sequelae.

Neurologic complications of spinal anesthesia

Perioperative nerve injuries have long been recognized as a potential complication of spinal anesthesia. Fortunately, severe or disabling neurologic complications rarely occur. Risk factors contributing to neurologic deficit after spinal anesthesia include spinal cord ischemia (hypothesized to be related to the use of vasoconstrictors or prolonged hypotension), traumatic injury to the spinal cord or nerve roots during needle or catheter placement, pressure applied to the spinal cord due to hemorrhagic or infectious complications, and choice of local anesthetic solution. Practice guidelines for the safe conduct of spinal anesthesia are influenced by knowledge of the previously published large patient surveys as well as individual case reports of neurologic deficits following central neural blockade. Prevention of complications, as well as early diagnosis and treatment are important factors in the management of regional anesthetic risks.

Effect of Needle Bevel Direction on the Postspinal Headache in Young Males of the Third Age Decade

The incidence of postspinal headache is one of the well known complications of spinal anesthesia. The development of postspinal headache is related to age and sex of patients, needle size, needle configuration, pregnancy, direction of needle bevel, number of dural puncture. This study was done to see the effect of various gauge Quincke needles(22, 23, 24, 25, 26gauge) and needle bevel direction on the incidence, severity, onset and location of postspinal headache in the 200 male patients of the third age decade undergoing spinal anesthesia. There were one group consisting of 100 patients who underwent parallel insertion to longitudinal dural fibers and the other group consisting of 100 patients who underwent vertical. Each group consisting of 100 patients had five subgroups with 20 patients in related to each needle gauge. A system of criteria for registering postspinal headache and its severity is proposed. The following results were observed: 1) The incidence of postspinal headache was 10% in one group who underwent parallel insertion to longitudinal dural fibers but 27% in the other group who underwent vertical. 2) The severity of headache was mild level in all the 10 cases with postspinal headache of parallel insertion group but above moderate level in 14 cases of all the 27 cases with postspinal headache of vertical insertion group. 3) The small size of needle had a trend with lower incidence of postspinal headache than the large size . 4) The onset of postspinal headache was within 3 day after spinal anesthesia in the almost patients(92.5%) with postspinal headache. 6) The sites of postspinal headache were 59.5% in frontal, 18.9% in occipital, 16.2% in generalized, 5.4% in parietal region. In conclusion, the method of insertion parallel to longitudinal dural fibers is significantly lower incidence of postspinal headache than that of insertion vertical to longitudinal dural fibers in young males of the third age decade.

Prevention of the side effects and complications of spinal anaesthesia

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Complications of spinal anaesthesia

Log in or Register Subscribe to journalSubscribe Get new issue alertsGet alerts Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Subscribe to eTOC Secondary Logo Journal Logo All Articles Images Videos Podcasts Blogs Advanced Search Toggle navigation Subscribe Register Login Articles & Issues Current IssuePrevious IssuesPublished Ahead-of-Print VideosFor Authors Submit a ManuscriptInformation for AuthorsLanguage Editing ServicesAuthor Permissions Journal Info About the JournalEditorial BoardAdvertisingOpen AccessSubscription ServicesReprintsRights and Permissions All Articles Images Videos Podcasts Blogs Advanced Search

A complication of spinal anaesthesia

The incidence of postdural puncture headache (PDPH) decreases with the use of thin needles (26–30-G) or conical needles. However, the use of thinner needles carries a higher risk of failure of spinal anaesthesia, leading to the development of double-needle techniques. With the decrease in incidence of severe PDPH, spinal anaesthesia is now recommended for use in day-care surgery and Caesarean section.

Complications of Spinal Anaesthesia Following Extradural Block for Caesarean Section

After extradural blockade failed to extend sufficiently for elective Caesarean section, spinal anaesthesia was performed using 1.6 ml of hyperbaric 0.5% bupivacaine solution in 8% glucose (Marcain Heavy). The patient rapidly developed sensory blockade to the level of T2, and became distressed and dyspnoeic. General anaesthesia was induced. Despite i.v. ephedrine and fluid loading, severe hypotension occurred, which responded subsequently to further doses of ephedrine and infusion of colloid. A healthy infant was delivered by Caesarean section.

COMPLICATIONS OF SPINAL ANESTHESIA

COMPLICATIONS OF SPINAL ANESTHESIA

Subdural Haematoma as a Complication of Spinal Anaesthetic

Subdural Haematoma as a Complication of Spinal Anaesthetic

Meningitis???A Complication of Spinal Anesthesia

During a five-year period, 17 of 1429 patients admitted with meningitis had had recent spinal anesthesia in Cairo, Egypt. Ten of the 17 had positive cerebrospinal fluid cultures: 8 were Pseudomonas aeruginosa, 1 was Staphylococcus aureus, and 1 was Streptococcus mitis. These organisms were not cultured from patients who had not had spinal anesthesia. Two patients with negative cultures had lumbar spine x-ray changes consistent with tuberculosis. Antibiotic therapy was based upon the sensitivity of cultured organisms. Four of the 17 patients died. These data strongly suggest that meningitis in patients with recent spinal anesthesia is commonly due to unusual or nosocomial organisms. Aggressive, meticulous bacteriologic evaluation of these patients is essential.

Subdural haematoma as a complication of spinal anaesthetic.

Subdural haematoma as a complication of spinal anaesthetic.

Subdural haematoma as a complication of spinal anaesthetic

Subdural haematoma as a complication of spinal anaesthetic

Subdural haematoma as a complication of spinal anaesthetic

Subdural haematoma as a complication of spinal anaesthetic

Clinical Observation of Complications in Spinal Anesthesia

Clinical Observation of Complications in Spinal Anesthesia

Urinary Retention as a Complication of Spinal Anesthesia

Urinary Retention as a Complication of Spinal Anesthesia

Principles of Anesthesiology

The 1976 edition, like the previous one, is arranged in four sections covering fundamental practices, regional anesthesia, and physiological and pharmacological considerations. Of the 90 chapters, 12 are completely new, and four are amplified. The original 75 chapters remain with varying degrees of revision. The new topics are antiemetic drugs, vomiting and aspiration, drug interaction, fluids and electrolytes, acid-base balance, the kidney and anesthesia, drug effects in liver disease, oxygenation and resuscitation, dynamics and pharmacology of carbon dioxide, temperature regulation and heat problems, complications of spinal anesthesia, postoperative complications peculiar to spinal anesthesia, and acupuncture. A notable feature of the book continues to be its wealth of clear and informative illustrations borrowed from prominent, contemporary sources. The section on regional anesthesia is generous in scope and reasonably current. The chapter on hazards in anesthesia practice includes much useful information on environmental pollution in the operating room and presents modern material

PARAPLEGIA FOLLOWING SPINAL ANESTHESIA. CLINICOPATHOLOGIC REPORT AND REVIEW OF LITERATURE.

Introduction Neurologic disturbances following spinal anesthesia are of fortunate infrequency.1Most of the ones personally observed have been transient or have left minimal neural deficits. Rarely, extensive and permanent damage to the nervous system may occur. Many problems concerning the pathogenesis of the neural complications of spinal anesthesia remain unresolved. In part, this is due to the relative dearth of reported pathologic studies. The subject of this report was a woman whose paraplegia had been noted immediately after a routine procaine spinal anesthesia for hysterectomy. She survived for almost six months. Arachnoidal, neural, and vascular changes were found at postmortem examination in her cauda equina and the lumbosacral portion of her spinal cord. The pathologic alterations observed in this case and a review of the reported pathologic material in the literature comprise the basis for this presentation. Report of Case A 57-year-old white woman had a hysterectomy performed in

Neurological Complications of Spinal Anesthesia

Neurological Complications of Spinal Anesthesia

Complications of Spinal Anesthesia

Complications of Spinal Anesthesia

Complications of spinal anesthesia; an evaluation of the complications encountered in 5,763 consecutive spinal anesthesias.

The technic of introducing anesthetic drugs into the subarachnoid space to abolish temporarily the sensory and motor functions of several groups of spinal nerves was introduced by Bier fifty years ago. During the ensuing period spinal anesthesia has been widely utilized throughout the world. The technical simplicity of the procedure of lumbar puncture led to the administration of spinal anesthesia by the surgeon to overcome the deficiencies of other available methods of anesthesia. As the total experience with spinal anesthesia accumulated, improvements in drugs and technic took place. Today spinal anesthesia has a recognized place in the practice of anesthesiology. Two restraining influences have checked the more widespread use of spinal anesthesia, namely, the alterations in normal function accompanying the extensive block of somatic and autonomic nervous pathways and the occurrence of certain sequelae which may result from the introduction of needles, drugs or foreign material into the subarachnoid space.