Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
| Autor: | Richard D. Shih, Irina Fishman, Diane P. Calello, Forest N Turner, Joshua J. Solano |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Intravenous lipid emulsion
business.industry medicine.medical_treatment intravenous lipid emulsion Respiratory arrest General Engineering Emergency department 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Anesthesiology Anesthesia regional anaesthesia Emergency Medicine medicine Mydriasis Paralysis Nerve block Local anesthesia medicine.symptom local anesthesia Complication business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.4491 |
| Popis: | Total spinal anesthesia following interscalene block is a rare and life-threatening complication of regional anesthesia. A 56-year-old woman underwent an uncomplicated left shoulder bone spur removal under general anesthesia with an interscalene nerve block at an outpatient surgical center. Subsequently, she developed bilateral mydriasis, paralysis of all extremities, and respiratory arrest. She was intubated and transferred to the emergency department (ED) where she was given intravenous lipid emulsion (ILE) with complete recovery of neurological function. ILE therapy may be considered as a rescue treatment in addition to supportive therapy for total spinal anesthesia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|