title: Reducing the potential morbidity of an unintentional spinal anaesthetic by aspirating cerebrospinal fluid.
abstract: We describe two cases where we attempted to reduce the adverse effects of inadvertent spinal anaesthesia by aspirating local anaesthetic-contaminated cerebrospinal fluid (CSF). Analysis of this CSF for its local anaesthetic concentration revealed that we were able to recover 51% and 39% of the administered lignocaine. It is suggested that such aspiration may be a helpful additional measure to the supportive management of this complication.
authors.affiliation: Department of Anesthesiology, Mayo Clinic and Foundation, Rochester, MN 55905, USA.
authors.forename: P
authors.initials: P
authors.lastname: Southorn
authors.forename: G M
authors.initials: GM
authors.lastname: Vasdev
authors.forename: R C
authors.initials: RC
authors.lastname: Chantigian
authors.forename: G M
authors.initials: GM
authors.lastname: Lawson
mesh_terms: D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000134:cerebrospinal fluid*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000134:cerebrospinal fluid*; D011247:Pregnancy; D013396:Suction
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine