Lumbar epidural blocks: a case report of a life-threatening complication.
A case of life-threatening complication resulting from a lumbar epidural block is presented. A 70-year-old woman with spinal stenosis developed cardiac and respiratory arrest 5 minutes after receiving a lumbar epidural block containing 80 mg of triamcinolone acetonide and 6mL of 1.5% lidocaine. The patient received cardiopulmonary resuscitation and recovered without any sequelae. It is suggested that this complication was caused by subdural or intravascular injection of local anesthetics. It might be preventable by injecting a test dose of local anesthetics before injecting a full dose of local anesthetics and by using fluoroscopy.
Lee
P K
PK
Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kwlee@smc.samsung.co.kr
Kim
J M
JM
D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000379:methods; D000775:Anesthesia, Spinal / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005471:Fluoroscopy; D006323:Heart Arrest / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects; D013130:Spinal Stenosis / Q000601:surgery
D008012:Lidocaine