title: [Case of an accidental total spinal anesthesia caused by 1% ropivacaine].
abstract: A case of accidental total spinal anesthesia was presented. A 47-year-old woman was scheduled for a total abdominal hysterectomy. An epidural catheter was inserted at the L1-2 interspace and 10 ml of 1% ropivacaine was injected. Following surgery, the patient did not regain consciousness and we confirmed total spinal anesthesia because of the cerebrospinal fluid leak through the epidural catheter. Therefore propofol was administered again until the recovery of sufficient spontaneous breathing confirmed approximately 3 hours following administration of ropivacaine, and patient was extubated. No neurologic deficits could be detected.
authors.affiliation: Department of Anesthesia, Tokyo Dental College Ichikawa General Hospital, Ichikawa 272-8513.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ouchi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Innami
authors.forename: Naoji
authors.initials: N
authors.lastname: Umemura
authors.forename: Toshiya
authors.initials: T
authors.lastname: Koitabashi
mesh_terms: D000577:Amides / Q000008:administration & dosage / Q000009:adverse effects*; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D002404:Catheterization / Q000009:adverse effects*; D004824:Epidural Space; D005260:Female; D006801:Humans; D007044:Hysterectomy; D019300:Medical Errors; D008875:Middle Aged; D011379:Prognosis; D015742:Propofol / Q000008:administration & dosage; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000077212:Ropivacaine; D015742:Propofol