Vascular trauma associated with routine spinal anaesthesia
| Autor: | N. P. C. Randall, P. R. Knowles, A. S. Lockhart |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Antiplatelet drug medicine.diagnostic_test business.industry Lumbar puncture Vascular disease medicine.medical_treatment Spinal anesthesia Neurological disorder medicine.disease Surgery Red blood cell Anesthesiology and Pain Medicine medicine.anatomical_structure Cerebrospinal fluid Anesthesia Medicine business Complication |
| Zdroj: | Anaesthesia. 54:647-650 |
| ISSN: | 0003-2409 |
| DOI: | 10.1046/j.1365-2044.1999.00957.x |
| Popis: | Samples of cerebrospinal fluid obtained from 130 patients undergoing spinal anaesthesia were examined microscopically. Subarachnoid puncture was performed using either a 25G Whitacre or 25G Quincke spinal needle. Two samples were collected from each patient and the red blood cell count of the second sample collected was taken as a measure of the vascular trauma associated with the procedure. Red blood cells were seen in 50 (38%) of these samples, of which 18 (14%) contained > 100 red blood cells.mm-3. Paraesthesia was felt by 11 (8.5%) patients and the occurrence of paraesthesia was associated with significantly raised red blood cell counts (p < 0.0001). There was also a correlation between the number of needle passes made at lumbar puncture and the red blood cell count in the sample (p < 0. 0001). Neither spinal needle type nor antiplatelet drug therapy influenced red blood cell counts (p = 0.66 and 0.37, respectively). These findings suggest that routine spinal anaesthesia is often complicated by minor degrees of vascular trauma, especially when paraesthesiae or technical difficulty occur at subarachnoid puncture. |
| Databáze: | OpenAIRE |
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