title: Bilateral Carpal Spasm Under Spinal Anaesthesia During Abdominal Hysterectomy: A Case Report.
abstract: Acute hypocalcaemia is a medical emergency that can have catastrophic implications like tetany, seizures, cardiac arrythmias or laryngospasm if left untreated. We are presenting a case of a 30-year-old female patient undergoing total abdominal hysterectomy with bilateral salpingoopherectomy under spinal anaesthesia. She developed unexpected bilateral carpal spasm intraoperatively which was promptly diagnosed and successfully managed with intravenous calcium administration. We conclude that the anaesthetist should be aware of the clinical presentation of acute hypocalcaemia, its causes and emergency management in the perioperative period to prevent any adverse outcomes.
authors.affiliation: Senior Resident, Department of Anaesthesia, R.N.T Medical College , Udaipur, Rajasthan, India .
authors.forename: Abhilasha
authors.initials: A
authors.lastname: Thanvi
authors.affiliation: Professor, Department of Anaesthesia, R.N.T Medical College , Udaipur, Rajasthan, India .
authors.forename: Udita
authors.initials: U
authors.lastname: Naithani
authors.affiliation: Junior Registrar, Department of Anaesthesia, R.N.T Medical College , Udaipur, Rajasthan, India .
authors.forename: Sneha Arun
authors.initials: SA
authors.lastname: Betkekar
authors.affiliation: Professor and Unit Head, Department of Anaesthesia, R.N.T Medical College , Udaipur, Rajasthan, India .
authors.forename: Devendra
authors.initials: D
authors.lastname: Verma
authors.affiliation: Assistant Professor, Department of Anaesthesia, R.N.T Medical College , Udaipur, Rajasthan, India .
authors.forename: Basant Kumar
authors.initials: BK
authors.lastname: Dindor
keywords: Carpopedal spasm; Hyperventilation; Hypocalcaemia