Dysphagia following intrathecal local anesthetic-opioid administration.
We describe the case of a parturient who developed dysphagia shortly after the intrathecal injection of a local anesthetic-opioid combination for cesarean section. Dysphagia was the only symptom of cephalad spread of the spinal anesthetic, and it was not associated with a "high" motor or sensory block. Although it resolved spontaneously, the dysphagia was extremely distressing to the patient. We conclude that dysphagia, even in the absence of an overtly "high spinal," should be added to the possible side effects of intrathecal local anesthetic-opioid administration in parturients.
Musch
G
G
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA. musch@etherdome.mgh.harvard.edu
Liposky
J
J
D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D002585:Cesarean Section; D003680:Deglutition Disorders / Q000139:chemically induced*; D005260:Female; D006801:Humans; D011247:Pregnancy
D000701:Analgesics, Opioid; D000779:Anesthetics, Local