RT Journal Article
SR Electronic
T1 Unintentional Combined Epidural and Subdural Block: Case Report
JF Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP 249
OP 251
DO 10.1136/rapm-00115550-199520030-00014
VO 20
IS 3
A1 Sandeep Chauhan
A1 Atul Gaur
A1 Mukesh Tripathi
A1 Soma Kaushik
YR 1995
UL http://rapm.bmj.com/content/20/3/249.abstract
AB Background and Objectives. Unintentional subdural block, while attempting an epidural anesthetic, is a rare but known complication. The authors describe a radiologically confirmed case of an unintentional combined epidural and subdural block while attempting to perform an epidural block for transurethral resection of prostate in a middle-aged man.Methods. Loss of resistance to air injection was used for identifying the epidural space prior to catheter placement. Following the epidural injection of 20 mL of a 1.5% lidocaine and 0.5% bupivacaine mixture, the patient developed rapid, intense, prolonged, and extensive bilateral motor block up to C2 level.Results. The patient had aphonia and respiratory paralysis requiring endotracheal intubation and controlled ventilation for 3 hours.Conclusions. Postoperative radiologic examination revealed the spread of the dye in both epidural and subdural spaces, causing the extensive sensory and motor block.