Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A
- Author:
Chew YW
;
Suppan VK
;
Ashutosh SR
;
Tew MM
;
Jimmy-Tan JH
- Publication Type:Case report
- Keywords:
pneumocephalu;
, total knee arthroplasty;
epidural anaesthesia;
loss of resistance to air (LORA)
- MeSH:
Pneumocephalus;
Anesthesia, Cardiac Procedures
- From:Malaysian Orthopaedic Journal
2017;11(3):42-44
- CountryMalaysia
- Language:English
-
Abstract:
The authors describe a case of pneumocephalus following
epidural anaesthesia for total knee arthroplasty. Multiple
attempts in locating the epidural space for the anaesthesia
and the use of loss of resistance to air (LORA) technique
were identified as the source of air entry. Supportive
management was given including high flow oxygenation
therapy and spontaneous reabsorption of air was noted five
days after surgery. The presence of pneumocephalus should
be kept in mind if patient develops neurological
complications postoperatively following epidural
anaesthesia.
