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Korean Journal of Anesthesiology 1979;12(2):176-178.
DOI: https://doi.org/10.4097/kjae.1979.12.2.176   
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.


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