A case report of reappearance of spinal anesthesia.

Abstract:

OBJECTIVE:We present a case of reappearance of spinal anesthesia despite the use of plain (isobaric) lidocaine and without an associated cough or Valsalva maneuver. CASE REPORT:A 66-year-old man had spinal anesthesia for knee arthroscopy. Two hours after the induction of spinal anesthesia and after the patient's motor strength had returned to the lower extremities, his head was elevated to 30 degrees. His legs became weak and he became hypotensive. Within 1 hour, his strength returned and he was discharged uneventfully. CONCLUSIONS:The reappearance of spinal anesthesia may be secondary to remixing of the cerebrospinal fluid with the pooled local anesthetic or transfer of the local anesthetic from the subdural to the subarachnoid space with movement of the patient.

journal_name

Reg Anesth Pain Med

authors

Deleon AM,Benzon HT,Eisenman TS,Doty RA Jr,Newell B,McLaughlin K

doi

10.1016/j.rapm.2007.11.007

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

271-2

issue

3

eissn

1098-7339

issn

1532-8651

pii

S1098-7339(07)00776-6

journal_volume

33

pub_type

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