Biomedical subjects
Publications and source records attributed to F Vidal-López.
We describe a case of transient pain in both legs after spinal anaesthesia with a hyperbaric solution of 5% lignocaine delivered in a single bolus through a 22-gauge Quincke needle. The patient remained in a supine decubitus position throughout surgery and 31 h later pain was referred bilaterally to the L3 and L4 dermatomes.
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BACKGROUND. Pneumocephalus developed in a 45-year-old woman after epidural anesthesia was performed to treat her low back pain. The cause was thought to be the loss of resistance to air technique. The clinical symptoms were immediate headache independent of posture, pallor, bradycardia, and hypotension. These symptoms disappeared during the first 24 hours with no neurologic sequelae. CONCLUSION. This case suggests that using the loss of resistance technique with saline versus air should prevent this complication, especially after unintentional dural puncture or when, in difficult placements, the technique is repeated frequently in the same patient.