Unintended subdural anesthesia and subdural air bubbles after attempted epidural anesthesia in a patient undergoing cesarean section.

Anesthesia and pain medicine Pub Date : 2024-04-01 Epub Date: 2024-04-30 DOI:10.17085/apm.23105
Jung Eun Kim, Jinse Lee, Giyear Lee, Mi Hwa Chung, Young Ryong Choi, Eun Mi Choi
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Abstract

Background: Unintended subdural anesthesia accompanied by air bubbles compressing the cauda after attempting epidural anesthesia is rare.

Cases: A 41-year-old pregnant woman was scheduled to undergo epidural anesthesia for cesarean section. After attempting epidural anesthesia, she experienced prolonged hypotension and recovery time, especially in the right extremity. Through magnetic resonance imaging we found subdural air bubbles compressing the right side of the cauda equina in the L3 region. Thus, we considered unintended subdural anesthesia and performed conservative management with close observation. Her symptoms completely resolved within 24 h.

Conclusions: Here, we report a case with various features of subdural anesthesia and subdural air bubbles compressing the cauda.

一名接受剖腹产手术的患者在尝试硬膜外麻醉后出现意外硬膜下麻醉和硬膜下气泡。
背景:在尝试硬膜外麻醉后出现硬膜下麻醉意外并伴有气泡压迫尾骨的情况非常罕见:一名 41 岁的孕妇计划接受硬膜外麻醉进行剖腹产。在尝试硬膜外麻醉后,她出现了长时间的低血压和恢复时间延长,尤其是右侧肢体。通过磁共振成像,我们发现硬膜下气泡压迫了 L3 区域的右侧马尾。因此,我们考虑为意外硬膜下麻醉,在密切观察的情况下采取了保守治疗。她的症状在 24 小时内完全缓解:在此,我们报告了一例具有硬膜下麻醉和硬膜下气泡压迫马尾的各种特征的病例。
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CiteScore
2.30
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