Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy
Summary. Emergency exploratory laparotomy conducted under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Background and Objectives. Continuous spinal anesthesia is one of the least utilized regional anesthesia techniques globally. It could be an al...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2021/8819864 |
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| author | Andrew Emyedu Bernadette Kyoheirwe Patience Atumanya |
| author_facet | Andrew Emyedu Bernadette Kyoheirwe Patience Atumanya |
| author_sort | Andrew Emyedu |
| collection | DOAJ |
| description | Summary. Emergency exploratory laparotomy conducted under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Background and Objectives. Continuous spinal anesthesia is one of the least utilized regional anesthesia techniques globally. It could be an alternative anesthesia technique for abdominal and lower limb surgeries following an accidental dural puncture. The aim of this report was to describe a case in which continuous spinal anesthesia was successfully conducted for emergency exploratory laparotomy following an accidental dural puncture during epidural placement. Case Report. A 38-year-old male presented to our accident and emergency unit with a one-day history of colicky abdominal pain associated with constipation, abdominal distension, and vomiting. He was diagnosed with intestinal obstruction and underwent an emergency exploratory laparotomy under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Conclusion. This case demonstrates that in case of an accidental dural puncture during epidural placement, the catheter can be advanced into the intrathecal space and continuous spinal anesthesia conducted for abdominal surgeries using a standard epidural catheter. |
| format | Article |
| id | doaj-art-18888e3c1bef4a90ba39f5941582588d |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-18888e3c1bef4a90ba39f5941582588d2025-02-03T06:06:31ZengWileyCase Reports in Anesthesiology2090-63822090-63902021-01-01202110.1155/2021/88198648819864Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency LaparotomyAndrew Emyedu0Bernadette Kyoheirwe1Patience Atumanya2Department of Anaesthesia and Critical Care, Makerere University, College of Health Sciences, P.O. Box 7062, Kampala, UgandaDepartment of Anaesthesia and Critical Care, Makerere University, College of Health Sciences, P.O. Box 7062, Kampala, UgandaDepartment of Anaesthesia, Uganda Cancer Institute, P.O. Box 3935, Kampala, UgandaSummary. Emergency exploratory laparotomy conducted under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Background and Objectives. Continuous spinal anesthesia is one of the least utilized regional anesthesia techniques globally. It could be an alternative anesthesia technique for abdominal and lower limb surgeries following an accidental dural puncture. The aim of this report was to describe a case in which continuous spinal anesthesia was successfully conducted for emergency exploratory laparotomy following an accidental dural puncture during epidural placement. Case Report. A 38-year-old male presented to our accident and emergency unit with a one-day history of colicky abdominal pain associated with constipation, abdominal distension, and vomiting. He was diagnosed with intestinal obstruction and underwent an emergency exploratory laparotomy under continuous spinal anesthesia using a standard epidural set following an accidental dural puncture. Conclusion. This case demonstrates that in case of an accidental dural puncture during epidural placement, the catheter can be advanced into the intrathecal space and continuous spinal anesthesia conducted for abdominal surgeries using a standard epidural catheter.http://dx.doi.org/10.1155/2021/8819864 |
| spellingShingle | Andrew Emyedu Bernadette Kyoheirwe Patience Atumanya Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy Case Reports in Anesthesiology |
| title | Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy |
| title_full | Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy |
| title_fullStr | Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy |
| title_full_unstemmed | Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy |
| title_short | Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy |
| title_sort | continuous spinal anesthesia following inadvertent dural puncture during epidural placement for an emergency laparotomy |
| url | http://dx.doi.org/10.1155/2021/8819864 |
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