Apparent acquired resistance to local anesthetics in a pregnant patient: Coincidence or a novel entity?—A Case report

Autor:	Lalwani Jaya, Ayalasomayajula Sashank, Katari Sruthi
Jazyk:	angličtina
Rok vydání:	2023
Předmět:	acquired case report local anesthetics pregnant resistance Anesthesiology RD78.3-87.3 Gynecology and obstetrics RG1-991
Zdroj:	Journal of Obstetric Anaesthesia and Critical Care, Vol 13, Iss 1, Pp 109-111 (2023)
Druh dokumentu:	article
ISSN:	2249-4472
DOI:	10.4103/JOACC.JOACC_39_22
Popis:	We present a case of a 28-year-old pregnant patient in labor with two prior cesarean sections with a history of both successful and failed spinal anesthesia in her first and second pregnancies, respectively. This time, attempts at spinal anesthesia failed twice despite ruling out the common causes such as technical or drug error. Surgery was ultimately performed under general anesthesia uneventfully. While technical factors may contribute substantially to failure of spinal anesthesia, the sequence of events in this case, viz. one successful subarachnoid block followed by two unsuccessful ones three and seven years apart, supported by investigative evidence, indicates a possible acquired resistance to local anesthetics.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/72427317c6ea4e8099b0f8a1c784570a Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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