title: [Prolonged neurologic deficiency after accidental spinal anesthesia].
abstract: A case of severe prolonged neurological deficit following inadvertent spinal anesthesia is presented. Intradural block occurred after a test dose of Bupivacaine and vasoconstrictor when inserting an epidural catheter for post-thoracotomy pain-relief treatment. The likely triggering and etiological factors responsible for the neurological damage after spinal anesthesia were studied and evaluated, mainly those toxic and traumatic. Special mention of the local anesthetics and sodium bisulfite used is made. Preventive measures for this sort of complication are suggested.
authors.forename: R
authors.initials: R
authors.lastname: Pita-Romero Caamaño
authors.forename: V J
authors.initials: VJ
authors.lastname: Sánchez García
authors.forename: M A
authors.initials: MA
authors.lastname: Martín Moreno
authors.forename: J R
authors.initials: JR
authors.lastname: Fuentes Morán
authors.forename: J A
authors.initials: JA
authors.lastname: Sánchez Burón
authors.forename: C
authors.initials: C
authors.lastname: Marí Navarro
authors.forename: A
authors.initials: A
authors.lastname: Fernández Miranda
mesh_terms: D015360:Analgesia, Epidural; D004388:Dura Mater / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010243:Paralysis / Q000139:chemically induced / Q000209:etiology*; D013447:Sulfites / Q000009:adverse effects*; D013997:Time Factors
chemical_list: D013447:Sulfites; C009279:sodium bisulfite
vernacular_title: Déficit neurológico prolongado tras anestesia espinal accidental.