The 3rd National Audit Project (NAP3) showed neuraxial blockade to have a very low
rate of serious complications.
1
However, persistent neurological deficit following such procedures is concerning
for patients and professionals alike. We recently encountered a case of extremely
prolonged weakness and sensory deficit, following intrathecal administration of hyperbaric
bupivacaine and diamorphine, for elective caesarean section. The time to full recovery
was approximately 48 h. Imaging revealed no abnormalities. Although such a prolonged effect has been previously
reported,
Royal College of Anaesthetists. 3rd National Audit Project (NAP3). National Audit of Major Complications of Central Neuraxial Block in the United Kingdom. London; RCA: Jan 2009. <http://www.rcoa.ac.uk/index.asp?PageID=717>.
2
it is highly unusual in our experience. We wanted to compare this incident with the
experience of other obstetric anaesthetists.To read this article in full you will need to make a payment
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References
Royal College of Anaesthetists. 3rd National Audit Project (NAP3). National Audit of Major Complications of Central Neuraxial Block in the United Kingdom. London; RCA: Jan 2009. <http://www.rcoa.ac.uk/index.asp?PageID=717>.
- Exceptionally prolonged anesthesia after a small dose of intrathecal bupivacaine.Anesthesiology. 2002; 97: 1042
Article info
Publication history
Published online: June 06, 2011
Accepted:
March 22,
2011
Identification
Copyright
© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
