Total Spinal Anesthesia: A Rare Complication of Intrathoracic Intercostal Nerve Block

Charles W. Otto, Conrad L. Wall

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Total spinal anesthesia following intrathoracic intercostal nerve blocks with bupivacaine performed for postoperative pain relief during thoracotomy is described. Possible mechanisms for this complication include: (1) inadvertent placement of the needle through an intervertebral foramen, (2) puncture of a long dural cuff, and (3) intraneural injection with central spread. Recognition of this potential complication is important, and facilities for proper support must be available.

Original languageEnglish (US)
Pages (from-to)289-292
Number of pages4
JournalAnnals of Thoracic Surgery
Volume22
Issue number3
DOIs
StatePublished - Jan 1 1976

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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