Total Spinal Anesthesia following Epidural Saline Injection ... | 合法醫療器材資訊網

由PCPark著作·1998·被引用17次—TOTALspinalanesthesiaisacomplicationthatfollowsinadvertentintroductionoflocalanestheticsintotheintracranialsubarachnoidspace.Ithasbeen ...

A 29-yr-old 56 kg woman underwent arthroscopic repair of the anterior cruciate ligament of the left knee. An epidural catheter was atraumatically placed on the first attempt at the L2-L3 interspace using a loss of resistance technique. After a test dose with negative results, 12 ml lidocaine, 2%, produced loss of sensation to T10 on the right and L1 on the left. General anesthesia was induced using a propofol bolus (140 mg) and was maintained by a continuous propofol infusion of 25-30 [micro sign]g [middle dot] kg-1[middle dot] min-1while the patient breathed a mixture of nitrous oxide and oxygen (60:40) via laryngeal mask. Epidural anesthesia was provided by 2% lidocaine for the first 3 h of the procedure, then 0.5% bupivacaine was administered when it became apparent that the procedure would be prolonged. The procedure lasted 8 hr 5 min, during which 70 ml lidocaine, 2%, 50 ml bupivacaine, 0.5%, and 2 mg morphine ...