Failure after cerebrospinal fluid flow and success after no cerebrospinal fluid flow during spinal anesthesia induction for intrapartum cesarean section: A report of two cases.
10.17085/apm.2017.12.2.137
- Author:
Hea Jo YOON
1
;
Sang Hwan DO
;
Kwon il KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea. heajo7890@hanmail.net
- Publication Type:Case Report
- Keywords:
Cerebrospinal fluid;
Cesarean section;
Spinal anesthesia
- MeSH:
Anesthesia;
Anesthesia, Spinal*;
Bupivacaine;
Cerebrospinal Fluid*;
Cesarean Section*;
Dura Mater;
Emergencies;
Female;
Fentanyl;
Needles;
Pregnancy
- From:Anesthesia and Pain Medicine
2017;12(2):137-139
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on failed spinal anesthesia (SA) after free flow of cerebrospinal fluid (CSF) and successful SA after no free flow of CSF in SA for laboring parturients undergoing emergency cesarean section (CS). We introduced a 25-gauge Sprotte type spinal needle for anesthesia for case 1 and confirmed backflow and aspiration of CSF. We injected 10 mg bupivacaine plus 15 µg fentanyl. However, sensory and motor block were not observed. During SA for case 2, a convincing dural “pop” was felt but without flow of CSF. Injection of 10 mg bupivacaine and 15 µg fentanyl produced successful sensory and motor block suitable for CS. The failure or success of SA in these intrapartum CS cases ran contrary to our expectations and could be related to the use of pencil-point needle and movement of the dura mater during labor.
