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Correspondence| Volume 53, 103621, February 2023

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Total spinal anaesthesia and respiratory arrest during patient transfer following unrecognised subdural catheter placement during labour

Published:December 23, 2022DOI:https://doi.org/10.1016/j.ijoa.2022.103621
Total spinal anaesthesia and respiratory arrest during patient transfer following unrecognised subdural catheter placement during labour
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      Accidental subdural catheterisation is a complication of epidural analgesia with an incidence of 0.02–0.82%.
      • Lubenow T.
      • Keh-Wong E.
      • Kristof K.
      • Ivankovich O.
      • Ivankovich A.D.
      Inadvertent subdural injection: a complication of an epidural block.
      Anesth Analg. 1988; 67: 175-179
      , 
      • Jenkins J.
      Some immediate serious complications of obstetric epidural analgesia and anaesthesia: a prospective study of 145 550 epidurals.
      Int J Obstet Anesth. 2005; 14: 37-42https://doi.org/10.1016/j.ijoa.2004.07.009
      The clinical presentation is usually heterogenous due to the anatomic variability of the dissection plane and the pattern of spread of local anaesthetic.
      • Hoftman N.N.
      • Ferrante F.M.
      Diagnosis of unintentional subdural anesthesia/analgesia: analyzing radiographically proven cases to define the clinical entity and to develop a diagnostic algorithm.
      Reg Anesth Pain Med. 2009; 34: 12-16https://doi.org/10.1097/AAP.0b013e31819339cf
      We report a case of total spinal anaesthesia following unrecognised subdural catheter placement during labour.

      Keywords

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      References

        • Lubenow T.
        • Keh-Wong E.
        • Kristof K.
        • Ivankovich O.
        • Ivankovich A.D.
        Inadvertent subdural injection: a complication of an epidural block.
        Anesth Analg. 1988; 67: 175-179
        View in Article
        • Jenkins J.
        Some immediate serious complications of obstetric epidural analgesia and anaesthesia: a prospective study of 145 550 epidurals.
        Int J Obstet Anesth. 2005; 14: 37-42https://doi.org/10.1016/j.ijoa.2004.07.009
        View in Article
        • Hoftman N.N.
        • Ferrante F.M.
        Diagnosis of unintentional subdural anesthesia/analgesia: analyzing radiographically proven cases to define the clinical entity and to develop a diagnostic algorithm.
        Reg Anesth Pain Med. 2009; 34: 12-16https://doi.org/10.1097/AAP.0b013e31819339cf
        View in Article
        • Elliott D.
        • Voyvodic F.
        • Brownridge P.
        Sudden onset of subarachnoid block after subdural catheterization: a case of arachnoid rupture?.
        BJA. 1996; 76: 322-324https://doi.org/10.1093/bja/76.2.322
        View in Article
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        Differential flow from multihole epidural catheters.
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        The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study.
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        View in Article

      Article info

      Publication history

      Published online: December 23, 2022
      Accepted: December 17, 2022

      Identification

      DOI: https://doi.org/10.1016/j.ijoa.2022.103621

      Copyright

      © 2022 Elsevier Ltd. All rights reserved.

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