| Difusión subdural de anestésico local después de bloqueo y canulación paravertebral torácica |
Subdural spread of local anesthetic agent following thoracic paravertebral block and cannulation.
Garutti I, Hervias M, Barrio JM, Fortea F, De La Torre J.
Department of Anesthesiology and Reanimation, Hospital General Universitario, Gregorio Maranon, Madrid, Spain.ngarutti@inicia.es
Anesthesiology. 2003 Apr;98(4):1005-7.
THORACIC paravertebral block has been shown to be effective for surgical anesthesia when the afferent pain input is predominantly unilateral from the chest. We describe a patient scheduled for right thoracotomy with combined paravertebral-general anesthesia who had abnormal responses to local anesthetic injection administered via the paravertebral catheter. The catheter subsequently was found to be in the subdural space. To our knowledge, this is the first report to be published in the anesthesia literature of a subdural blockade occurring during intended cannulation to paravertebral spacehttp://journals.lww.com/anesthesiology/Citation/2003/04000/Subdural_Spread_of_Local_Anesthetic_Agent.29.aspx
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| ¿Bloqueo subdural complicando anestesia espinal? |
Subdural block complicating spinal anesthesia?
Singh B, Sharma P.
Department of Anaesthesiology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.bali@ndf.vsnl.net.in
Anesth Analg. 2002 Apr;94(4):1007-9
Abstract
IMPLICATIONS:Features suggestive of subdural block appeared after an apparently normal subarachnoid block. The long bevel of the reusable Quincke-type spinal needle may have contributed to the development of this complication. We propose that spinal needles should have a smaller bevel to minimize the possibility of such a complication.http://www.anesthesia-analgesia.org/content/94/4/1007.full.pdf+html
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| El saco dural humano. Morfología de la dura-aracnoides espinal. Origen del espacio subdural espinal |
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