Accidental Dural Puncture With An Introducer Needle (18 G) For Elective Caesarean Section: A case report

Autor: Saleh Kanawati, Omar Rajab, Mohamad Ali Barada, Zoher Naja, Loubna Sinno
Rok vydání: 2021
Předmět:
Zdroj: Journal of Obstetric Anaesthesia and Critical Care. 11:122
ISSN: 2249-4472
DOI: 10.4103/joacc.joacc_59_21
Popis: A 23-year-old parturient with a body mass index of 20.8 kg/m2 at term was admitted for elective caesarean section. Spinal anaesthesia was done using a 27-G pencil-point needle without an introducer guide, with the usage of a separate 18-G introducer needle. After the introduction of the introducer at the level of L4–L5, accidental free flow of cerebrospinal fluid (CSF) was seen. The introducer was withdrawn and inserted at the level of L3–L4, followed by the spinal needle. CSF backflow was seen; an anaesthetic mixture was given. Block was successful and caesarean section was done with no intraoperative complications.
Databáze: OpenAIRE
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