Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion

Total spinal anesthesia following interscalene block is a rare and life-threatening complication of regional anesthesia. A 56-year-old woman underwent an uncomplicated left shoulder bone spur removal under general anesthesia with an interscalene nerve block at an outpatient surgical center. Subseque...

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Autores principales: Turner, Forest N, Shih, Richard D, Fishman, Irina, Calello, Diane P, Solano, Joshua J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581388/
https://www.ncbi.nlm.nih.gov/pubmed/31259109
http://dx.doi.org/10.7759/cureus.4491
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author Turner, Forest N
Shih, Richard D
Fishman, Irina
Calello, Diane P
Solano, Joshua J
author_facet Turner, Forest N
Shih, Richard D
Fishman, Irina
Calello, Diane P
Solano, Joshua J
author_sort Turner, Forest N
collection PubMed
description Total spinal anesthesia following interscalene block is a rare and life-threatening complication of regional anesthesia. A 56-year-old woman underwent an uncomplicated left shoulder bone spur removal under general anesthesia with an interscalene nerve block at an outpatient surgical center. Subsequently, she developed bilateral mydriasis, paralysis of all extremities, and respiratory arrest. She was intubated and transferred to the emergency department (ED) where she was given intravenous lipid emulsion (ILE) with complete recovery of neurological function. ILE therapy may be considered as a rescue treatment in addition to supportive therapy for total spinal anesthesia.
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spelling pubmed-65813882019-06-28 Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion Turner, Forest N Shih, Richard D Fishman, Irina Calello, Diane P Solano, Joshua J Cureus Anesthesiology Total spinal anesthesia following interscalene block is a rare and life-threatening complication of regional anesthesia. A 56-year-old woman underwent an uncomplicated left shoulder bone spur removal under general anesthesia with an interscalene nerve block at an outpatient surgical center. Subsequently, she developed bilateral mydriasis, paralysis of all extremities, and respiratory arrest. She was intubated and transferred to the emergency department (ED) where she was given intravenous lipid emulsion (ILE) with complete recovery of neurological function. ILE therapy may be considered as a rescue treatment in addition to supportive therapy for total spinal anesthesia. Cureus 2019-04-17 /pmc/articles/PMC6581388/ /pubmed/31259109 http://dx.doi.org/10.7759/cureus.4491 Text en Copyright © 2019, Turner et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Turner, Forest N
Shih, Richard D
Fishman, Irina
Calello, Diane P
Solano, Joshua J
Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title_full Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title_fullStr Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title_full_unstemmed Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title_short Total Spinal Anesthesia Following an Interscalene Block Treated with Intravenous Lipid Emulsion
title_sort total spinal anesthesia following an interscalene block treated with intravenous lipid emulsion
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581388/
https://www.ncbi.nlm.nih.gov/pubmed/31259109
http://dx.doi.org/10.7759/cureus.4491
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