Your nameFriend's name
Your emailFriend's email

Inadvertent high central neuraxial block and possible total spinal anaesthesia occurring after nerve stimulation–guided thoracic paravertebral block

Department of Anaesthesia, Intensive Care and Palliative Care - Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

Summary

We report a case of a 74 years-old-woman scheduled for breast quadrantectomy and axillary dissection who developed high subdural block and hemodynamic instability after a nerve stimulator guided thoracic paravertebral blocks (TPVBs).
We supported vital functions until, after 170 minutes from TPVBs, the patient fully recovered.
Even if TPVB is described as a procedure at low-risk, as an excellent procedure for postoperative pain control and as a valid alternative to general anesthesia for breast surgery, complications may be life-threatening.
We hypothesize that ultrasound can make the safest technique.

ASA member / Anaesthesia and Intensive Care subscriber

If you are a member of the ASA or subscribe to the Anaesthesia and Intensive Care Journal please login to view entire article.

Purchase 24-hour access

If you are not a member, you may purchase 24-hour access to the entire article by simply selecting your country and clicking the 'Purchase' button below.

Select your country:

Purchase a subscription

For unlimited access to all articles, you can subscribe to the Anaesthesia and Intensive Care Journal.