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Does scorpion bite lead to development of resistance to the effect of local anaesthetics?

A patient posted for vaginal hysterectomy was administered subarachnoid block, which failed, so was repeated in one space above. The block failed again, after waiting for 30 min. Patient gave a history of scorpion bite twice, once at the age of 17 years on her right foot and again about 8 months bac...

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Autores principales: Panditrao, Minnu Mridul, Panditrao, Mridul Madhav, Khan, Mohd. Irfan, Yadav, Nikhil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546248/
https://www.ncbi.nlm.nih.gov/pubmed/23325946
http://dx.doi.org/10.4103/0019-5049.104582
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author Panditrao, Minnu Mridul
Panditrao, Mridul Madhav
Khan, Mohd. Irfan
Yadav, Nikhil
author_facet Panditrao, Minnu Mridul
Panditrao, Mridul Madhav
Khan, Mohd. Irfan
Yadav, Nikhil
author_sort Panditrao, Minnu Mridul
collection PubMed
description A patient posted for vaginal hysterectomy was administered subarachnoid block, which failed, so was repeated in one space above. The block failed again, after waiting for 30 min. Patient gave a history of scorpion bite twice, once at the age of 17 years on her right foot and again about 8 months back. Thereafter, balanced general anaesthesia was given. On eighth post-operative day, after explaining about her possible special condition (?Resistance to local anaesthetic agents), the patient was given left median, ulnar and radial nerve blocks at the wrist and local infiltration near the anatomical snuff box. There was neither sensory nor motor block. The scorpion venom is known to affect the pumping mechanism of sodium channels in the nerve fibres, which are involved in the mechanism of action of local anaesthetic drugs, it may be responsible for the development of ‘resistance’ to the action of local anaesthetic agents.
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spelling pubmed-35462482013-01-16 Does scorpion bite lead to development of resistance to the effect of local anaesthetics? Panditrao, Minnu Mridul Panditrao, Mridul Madhav Khan, Mohd. Irfan Yadav, Nikhil Indian J Anaesth Case Report A patient posted for vaginal hysterectomy was administered subarachnoid block, which failed, so was repeated in one space above. The block failed again, after waiting for 30 min. Patient gave a history of scorpion bite twice, once at the age of 17 years on her right foot and again about 8 months back. Thereafter, balanced general anaesthesia was given. On eighth post-operative day, after explaining about her possible special condition (?Resistance to local anaesthetic agents), the patient was given left median, ulnar and radial nerve blocks at the wrist and local infiltration near the anatomical snuff box. There was neither sensory nor motor block. The scorpion venom is known to affect the pumping mechanism of sodium channels in the nerve fibres, which are involved in the mechanism of action of local anaesthetic drugs, it may be responsible for the development of ‘resistance’ to the action of local anaesthetic agents. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3546248/ /pubmed/23325946 http://dx.doi.org/10.4103/0019-5049.104582 Text en Copyright: © Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Panditrao, Minnu Mridul
Panditrao, Mridul Madhav
Khan, Mohd. Irfan
Yadav, Nikhil
Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title_full Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title_fullStr Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title_full_unstemmed Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title_short Does scorpion bite lead to development of resistance to the effect of local anaesthetics?
title_sort does scorpion bite lead to development of resistance to the effect of local anaesthetics?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546248/
https://www.ncbi.nlm.nih.gov/pubmed/23325946
http://dx.doi.org/10.4103/0019-5049.104582
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