Inadvertent Subdural Spread Complicating Cervical Epidural Steroid Injection with Local Anaesthetic Agent
| Autor: | M J Turtle, S Bansal |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Triamcinolone acetonide medicine.drug_class medicine.medical_treatment Anti-Inflammatory Agents Subdural Space Unconsciousness Spondylolysis Critical Care and Intensive Care Medicine Triamcinolone Acetonide Spinal Osteophytosis 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Anesthetics Local Subdural space Bupivacaine Muscle Weakness Medical Errors Local anesthetic business.industry Respiration Hemodynamics Nerve Block 030208 emergency & critical care medicine Middle Aged medicine.disease Surgery Analgesia Epidural Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Nerve block Steroids medicine.symptom Complication business Anesthesia Local medicine.drug |
| Zdroj: | Anaesthesia and Intensive Care. 31:570-572 |
| ISSN: | 1448-0271 0310-057X |
| DOI: | 10.1177/0310057x0303100512 |
| Popis: | Although cervical epidural steroid injection with local anaesthetic is considered a safe technique and widely practised, complications may occur. We report a patient experiencing unexpected delayed high block, moderate hypotension and unconsciousness eight to ten minutes after an apparently normal cervical epidural steroid injection. The most probable diagnosis was a subdural block. Anatomical peculiarities of the epidural and subdural space in the cervical region increase the risk of subdural spread during cervical epidural injection. Fluoroscopic guidance is important during cervical epidural injection to increase certainty of correct needle placement, thus minimizing the risk of complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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