title: Repeated spinal anesthesia in a tetraparetic patient with Guillain-Barré syndrome.
abstract: A 78 year old man with tetraparesis, reduced forced vital capacity, and neurogenic bladder dysfunction due to Guillain-Barré syndrome was admitted for elective transurethral prostate resection and percutaneous lithotripsy of a bladder stone. On the sixth postoperative day, he was readmitted for emergency evacuation of a clot in the bladder. Both operations were performed with spinal anesthesia (hyperbaric bupivacaine + fentanyl) without neurologic sequelae.
authors: Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland. Electronic address: mariuswipfli@yahoo.com.
authors: Marius
authors: M
authors: Wipfli
authors: Department of Neurology, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
authors: Marcel
authors: M
authors: Arnold
authors: Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
authors: Martin
authors: M
authors: Luginbühl
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D005283:Fentanyl / Q000008:administration & dosage; D020275:Guillain-Barre Syndrome / Q000150:complications*; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008297:Male; D011782:Quadriplegia / Q000209:etiology; D020728:Transurethral Resection of Prostate / Q000379:methods*; D001744:Urinary Bladder Calculi / Q000628:therapy; D001750:Urinary Bladder, Neurogenic / Q000209:etiology; D014797:Vital Capacity
chemical_list: D000779:Anesthetics, Local; D005283:Fentanyl; D002045:Bupivacaine
keywords: Anesthesia, spinal; Guillain-Barré syndrome; Tetraparesis