title: Total spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child.
abstract: Total spinal anesthesia (TSA) is a rare complication of lumbar epidural anesthesia through inadvertent spinal injection of local anesthetics following an undiagnosed dural breach or spinal placement of the catheter. TSA has rarely been reported in children. TSA occurred during epidural anesthesia in a 7-year-old child undergoing abdominal surgery. Recent previous lumbar punctures and intrathecal chemotherapy for Burkitt's lymphoma at the same level may have facilitated dural breach. Epidural anesthesia should not be attempted at the same intervertebral level as prior recent lumbar punctures.
authors.affiliation: Département d'Anesthésie-Réanimation Chirurgicale 2, CHRU Lille, France. kipnise@anesthesia.ucsf.edu
authors.forename: E
authors.initials: E
authors.lastname: Kipnis
authors.forename: E
authors.initials: E
authors.lastname: Desoutter
authors.forename: S
authors.initials: S
authors.lastname: Dalmas
authors.forename: B
authors.initials: B
authors.lastname: Marciniak
mesh_terms: D000005:Abdomen / Q000601:surgery; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000768:Anesthesia, General / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000970:Antineoplastic Agents / Q000009:adverse effects; D002051:Burkitt Lymphoma / Q000150:complications / Q000601:surgery; D002648:Child; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D019300:Medical Errors; D016343:Monitoring, Intraoperative
chemical_list: D000970:Antineoplastic Agents