Total Spinal Anesthesia Failure: Have You Assessed the Sensory Anesthesia in Sacral Dermatomes?
Anesth Analg
; 124(5): 1674-1677, 2017 05.
Article
em En
| MEDLINE
| ID: mdl-28431427
ABSTRACT
Intrathecal local anesthetic maldistribution is a well-known cause of spinal anesthesia failure (SAF). This could potentially result in sensory blockade restricted to the sacral dermatomes. We sought to determine the overall incidence of SAF and the role of sacral dermatomes in differentiating between total and partial failures. Of the 3111 spinals prospectively examined, 194 (6.2%) were classified as failures. Of the 72 presumed total failures based on the initial assessment, evaluation of the sacral dermatomes revealed sensory blockade in 32 (44%; 95% confidence interval, 32.7%-56.6%). Sacral dermatome assessment after SAF may be important in safely guiding subsequent anesthetic management.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sacro
/
Limiar Sensorial
/
Bupivacaína
/
Raquianestesia
/
Anestésicos Locais
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Atividade Motora
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article