ACCIDENTAL TOTAL SPINAL ANALGESIA

Accidental total spinal.

To the Editor: I was extremely interested to read the case report of"Spinal subdural haematoma in a parturient after attempted epidural anaesthesia "z and was impressed by the speed of diagnosis and subsequent management. The finding of an elevated alkaline phosphatase in association with normal liver enzymes may indeed be due to biliary cholestasis (intraor extrahepatic) but of course it is no...

Accidental total spinal block (1)

R E P L Y Thank you for giving us the opportunity to respond to Dr. Fortuna's comments. It is possible that apnoea in this patient can partly be from hypotension and brainstem hypoperfusion, but she did develop flaccid paralysis in her upper extremities which means that motor paralysis in the cervical region had, indeed, taken place. The block, however (both sensory and motor), started regressi...

Spinal Analgesia

cause was obvious. I failed to get the C. S. fluid to run out rapidly. It came out in very slow drops. I ought to have made a fresh puncture, but wished to try if it were possible to get analgesia under such conditions. Case 17 might be regarded as a failure, but in this case the man confessed next day he never felt any pain, and made a fuss merely because he had not got "gas" to inhale and dre...

A prospective controlled study of continuous spinal analgesia versus repeat epidural analgesia after accidental dural puncture in labour.

BACKGROUND After accidental dural puncture in labour it is suggested that inserting an intrathecal catheter and converting to spinal analgesia reduces postdural puncture headache and epidural blood patch rates. This treatment has never been tested in a controlled manner. METHODS Thirty-four hospitals were randomised to one of two protocols for managing accidental dural puncture during attempt...

Spinal Analgesia