Spinal cord injury caused by direct damage by local anaesthetic infiltration needle

被引:31
作者
Absalom, AR
Martinelli, G
Scott, NB
机构
[1] Univ Glasgow, Glasgow Royal Infirm, Dept Anaesthesia, Glasgow G31 2ER, Lanark, Scotland
[2] HCI Int Med Ctr, Dept Anaesthesia, Glasgow G81 4HX, Lanark, Scotland
关键词
anaesthetic techniques; epidural; complications; spinal cord trauma;
D O I
10.1093/bja/87.3.512
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a case of spinal cord injury caused by direct trauma from a local anaesthetic infiltration needle. During local anaesthetic infiltration before placement of an epidural catheter, the patient suddenly rolled over onto her back, causing the infiltrating needle to advance all the way to its hub. She immediately showed signs of spinal cord injury, confirmed by MRI scan. However, her neurological status gradually improved, and on discharge she was able to walk, with a sensory deficit localized to her left foot.
引用
收藏
页码:512 / 515
页数:4
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