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Total spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child.
Paediatr Anaesth. 2005 Jan; 15(1):54-7.PA

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+Show Affiliations

Kipnis E
Département d'Anesthésie-Réanimation Chirurgicale 2, CHRU Lille, France. kipnise@anesthesia.ucsf.edu
Desoutter E
No affiliation info available
Dalmas S
No affiliation info available
Marciniak B
No affiliation info available

MeSH

AbdomenAnesthesia, EpiduralAnesthesia, GeneralAnesthesia, SpinalAntineoplastic AgentsBurkitt LymphomaChildFemaleHemodynamicsHumansMedical ErrorsMonitoring, Intraoperative

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15649165

Citation

Kipnis, E, et al. "Total Spinal Anesthesia During Combined General-epidural Anesthesia in a 7-year-old Child." Paediatric Anaesthesia, vol. 15, no. 1, 2005, pp. 54-7.
Kipnis E, Desoutter E, Dalmas S, et al. Total spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child. Paediatr Anaesth. 2005;15(1):54-7.
Kipnis, E., Desoutter, E., Dalmas, S., & Marciniak, B. (2005). Total spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child. Paediatric Anaesthesia, 15(1), 54-7.
Kipnis E, et al. Total Spinal Anesthesia During Combined General-epidural Anesthesia in a 7-year-old Child. Paediatr Anaesth. 2005;15(1):54-7. PubMed PMID: 15649165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child. AU - Kipnis,E, AU - Desoutter,E, AU - Dalmas,S, AU - Marciniak,B, PY - 2005/1/15/pubmed PY - 2005/5/4/medline PY - 2005/1/15/entrez SP - 54 EP - 7 JF - Paediatric anaesthesia JO - Paediatr Anaesth VL - 15 IS - 1 N2 - 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. SN - 1155-5645 UR - https://www.unboundmedicine.com/medline/citation/15649165/Total_spinal_anesthesia_during_combined_general_epidural_anesthesia_in_a_7_year_old_child_ DB - PRIME DP - Unbound Medicine ER -