Accidental Total Spinal Block during Lumbar Epidural Anesthesia . |
Yun Sook Bai, Tai Ho Jung |
Department of Anesthesiology, National Police Hospital, Seoul, Korea. |
|
|
Abstract |
This is a case report of accidental total spinal block during epidural anesthesia with 1.5% lidocaine 20 ml for hemorrhoidectomy in a 25 year old male. It could have been avoided by; a) careful technical application. b) aspiration of spinal fluid and c) use of a test dose. Management consists of the administration of a vasopressor usually with assistance of respiration until dissipation of anesthesia.
He was discharged in good condition without complications on the 7th postop, day. |
|