Reducing the potential morbidity of an unintentional spinal anaesthetic by aspirating cerebrospinal fluid.
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.
Southorn
P
P
Department of Anesthesiology, Mayo Clinic and Foundation, Rochester, MN 55905, USA.
Vasdev
G M
GM
Chantigian
R C
RC
Lawson
G M
GM
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
D000779:Anesthetics, Local; D008012:Lidocaine