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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Total Spinal Anaesthesia, an Unusual Complication of Interscalene Brachial Plexus Block

Deepa Kattishettar1 , Gurudatt C.L 2, Rashmi H.D 3

1Assistantt Professor, 2Professor & Head, 3Postgraduate,

Department of Anaesthesiology , Mysore Medical College & Research  Institute, Mysore, Karnataka

Year: 2013, Volume: 3, Issue: 3, Page no. 146-148,
Views: 519, Downloads: 3
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Regional blocks are commonly used nowadays due to their multiple advantages over general anaesthesia. Since Winnie and colleagues introduced interscalene block in 1970's it has become a very popular anaesthetic technique for upper limb and clavicular surgeries. Though the interscalene block is very safe, still complications such as intravascular injections, epidural injections and intrathecal injections producing total spinal anaesthesia occasionally occur. Here we are reporting a case of total spinal anaesthesia as a complication of interscalene brachial plexus block which was recognized early and managed successfully. The present case report lays an emphasis on good monitoring techniques, keeping all resuscitation equipments ready before instituting the block and a vigilant anaesthesiologist. 

<p>Regional blocks are commonly used nowadays due to their multiple advantages over general anaesthesia. Since Winnie and colleagues introduced interscalene block in 1970's it has become a very popular anaesthetic technique for upper limb and clavicular surgeries. Though the interscalene block is very safe, still complications such as intravascular injections, epidural injections and intrathecal injections producing total spinal anaesthesia occasionally occur. Here we are reporting a case of total spinal anaesthesia as a complication of interscalene brachial plexus block which was recognized early and managed successfully. The present case report lays an emphasis on good monitoring techniques, keeping all resuscitation equipments ready before instituting the block and a vigilant anaesthesiologist.&nbsp;</p>
Keywords
Brachial Plexus Block, Interscalene Approach, Total Spinal Anaesthesia, resuscitation equipment.
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