[Total spinal paralysis as complication of brachial plexus block].
Local anesthesia of the brachial plexus by interscalenic approach was a cause of total spinal blockade due to the administration of a local anesthetic into subarachnoid space. To prevent this it is necessary to administer a test dose of a local anesthetic with pre-aspiration of the liquor with a syringe. Intensive care procedures should be aimed at maintenance of adequate hemodynamics and gas exchange and to liquidation of circulating blood volume deficiency.
Strelets
B M
BM
Tsvetkov
V A
VA
Evtiukhov
A N
AN
D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage; D001917:Brachial Plexus; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects*; D010243:Paralysis / Q000209:etiology*; D013346:Subarachnoid Space
D000779:Anesthetics, Local
Total'nyĭ spinal'nyĭ paralich kak oslozhnenie blokady plechevogo spleteniia.