Failed intrathecal anesthesia, a case report

Authors

Keywords:

Spinal Anesthesia, Ehlers Danlos Syndrome, Anesthesiology

Abstract

Introduction: spinal anesthesia is a simple technique that provides a quick and deep block for surgery, it is widely used for its safety and efficacy.

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Objective: to describe the causes and anesthetic management of a case that, after being administered spinal anesthesia, complete failure of it was found.

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Case Report: 30-year-old female patient, personal health history of Ehlers Danlos Syndrome type joint hypermobility, in addition to little anesthetic effect for dental extraction. She was announced to the operating room to electively perform bilateral partial salpingectomy. After performing intrathecal anesthesia without difficulty, the absence of sensory and motor blockade was verified. Initial anesthetic failure was

managed with general anesthesia inserting a laryngeal mask, obtaining favorable intraoperative results.

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Conclusions: the causes and anesthetic management of a patient who, after applying intrathecal anesthesia to perform bilateral partial salpingectomy, found total

failure of anesthesia was described

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Author Biographies

Yuliel Varona Varona Rodriguez, Hospital General Docente Martín Chang Puga

Especialista en Anestesiolog?a y Reanimaci?n Profesor instructor

Adonis Cintra Cintra Dornes, Hospital General Docente Martín Chang Puga

Especialista en Ginecolog?a y Obstetricia

Profesor Asistente

Liliam María Castillo Manresa, Hospital General Docente Martín Chang Puga

Estudiante de Medicina

References

Morante Arias JE, Ulloa Vallejo LV, Luna Martillo ST, Minchala Nieto ID. Anestesia regional neuroaxial. RECIAMUC [Internet]. 2022 [citado 9 marzo del 2023]; 6(4):21-0. Disponible en: https://reciamuc.com/index. php/RECIAMUC/article/view/965/1389

Hidalgo Acosta JA, Mawyin Muñoz CE, Cujilema Parreño MC, González Echeverría KE, Montenegro Jara JL, Ruiz Alejandro MR et al. Anestesia espinal y sus complicaciones neurológicas. Un artículo de revisión de la literatura. Mediciencias UTA [Internet].2022[citado 10 de marzo de 2023];6(4):9-15. Disponible en: https:// revistas.uta.edu.ec/erevista/index.php/medi/article/ view/1830/2182

Lacassie HQ, Altermatt FC, María Jesús Irarrázaval M, Kychenthal CL, De La Cuadra F. Anestesia espinal parte III. Mecanismos de acción. Rev Chil Anest [Internet].2021[citado 10 de marzo del 2023];50(3): 526532.Disponible en: http://revistachilenadeanestesia. cl/PII/revchilanestv50n03-16.pdf

Bekele Z, Jisha H. Tipo, manejo y factores asociados de la raquianestesia fallida en la cesárea. Estudio prospectivo de cohortes. AMSU [Internet]. 2022[citado 7 de marzo del 2023]; 77. Disponible en: https://journals.lww.com/annals-of-medicine-andsurgery/Fulltext/2022/05000/Type,_management,_ and_associated_factors_of_failed.65.aspx

Enyew HA, Adem SA, Yaregal DM. La incidencia y los factores asociados con el fracaso de la raquianestesia entre las parturientas sometidas a cesárea, 2019: un estudio observacional prospectivo. IJSO[Internet].2020 [citado 7 de marzo del 2023]; 24:47-51. Disponible en: https://www.sciencedirect. com/science/article/pii/S2405857220300218

Wira Natanagara IC, Budi Lastiawan IK. Spinal AnesthesiaFailure In Patients With Total Abdominal Hysterectomy With Anemia and Its Management: Case Report. Jurnal Health Sains [Internet]. 2022[citado 7 de marzo del 2023]; 3(3): 415-419. Disponible en: https://jurnal.healthsains.co.id/index.php/jhs/ article/view/442/548

Miranda Rodríguez A. Falla o resistencia en la anestesia espinal para cesárea. Rev cuba anestesiol sld.cu/scielo.php?script=sci_arttext&pid=S172667182018000300007&lng=es

Bouchacourt V. Causas de fallas del bloqueo subaracnoideo; formas de evitarlas. Anest Analg Reanim [Internet]. 2005 [citado 12 de marzo del 2023]; 20(1): 31-37. Disponible en: http://www.scielo. edu.uy/scielo.php?script=sci_arttext&pid=S168812732005000100005&lng=es.

Parikh K, Shwetha Seetharamaiah S. Abordaje del fracaso de la anestesia espinal para la cesárea. IJA[Internet].2018[citado 12 de marzo del 2023]; 62(9):691-697. Disponible en: https://journals.lww. com/ijaweb/Fulltext/2018/62090/Approach_to_failed_spinal_anaesthesia_for.6.aspx

Punchuklang W, Nivatpumin P, Jintadawong T. Fracaso total de la raquianestesia para el parto por cesárea, factores asociados y resultados: un estudio retrospectivo de casos y controles. Medicine [Internet].2022[citado 7 de marzo del 2023]; 101(27): p e29813. Disponible en: https://journals.lww.com/mdjournal/Fulltext/2022/07080/Total_failure_of_spinal_ anesthesia_for_cesarean.59.aspx

Hakim AJ, Grahame R, Norris P, Hopper C. Local anaesthetic failure in joint hypermobility syndrome. J Soc Med. 2005; 98(2):84-85.

Schubart JR, Schaefer E, Janicki P, Adhikary SD, Schilling A, Hakim AJ et al. Resistencia a la anestesia local en personas con los síndromes de Ehlers-Danlos que se presentan para cirugía dental. J Dent Anesth Pain Med[Internet]. 2019 [citado 7 de marzo del 2023]; 19(5):261-270. Disponible en: https://www.jdapm. org/DOIx.php?id=10.17245/jdapm.2019.19.5.261

Batas D, Nejad M, Prabhu P. Resistance to Local Anaesthetics: a case report. BJA[Internet]. 2007[citado 7 de marzo del 2023]; 99(8) Disponible en: https://doi. org/10.1093/bja/el_1576

Lirk P, Berde CH.Local Anesthetics. En: Gropper MA, Miller RD, Cohen NH. Miller’s Anesthesia.9 ed. Philadelphia: Elsevier; 2020. p: 865-890

Wloch K, Simpson M, Gowrie MS. Resistencia anestésica local en una paciente con síndrome de Ehlers Danlos sometida a cesárea con anestesia espinal continua. Anaesth Rep[Internet]. 2020 [citado 3 de julio del 2023]; 8(1): 56–58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284047/pdf/ANR3-8-56.pdf

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Published

2023-07-06

How to Cite

1.
Varona Rodriguez YV, Cintra Dornes AC, Castillo Manresa LM. Failed intrathecal anesthesia, a case report. Columna méd. [Internet]. 2023 Jul. 6 [cited 2025 Jan. 19];2(2):e89. Available from: https://revcolumnamedica.sld.cu/index.php/columnamedica/article/view/89

Issue

Vol. 2 No. 2 (2023): Mayo-Agosto

Section

Case presentations

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Copyright (c) 2023 Yuliel Varona Varona Rodriguez, Adonis Cintra Cintra Dornes, Liliam María Castillo Manresa Correo

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