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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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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. |
format | Online Article Text |
id | pubmed-3546248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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