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Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 648921, 3 pages
doi:10.1155/2012/648921
Case Report

Unexpected High Sensory Blockade during Continuous Spinal Anesthesiology (CSA) in an Elderly Patient

R. Ketelaars and A. P. Wolff

Department of Anaesthesia, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands

Received 19 June 2012; Accepted 31 July 2012

Academic Editors: A. Apan, M. Dauri, and R. Riley

Copyright © 2012 R. Ketelaars and A. P. Wolff. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. P. A. Sutter, Z. Gamulin, and A. Forster, “Comparison of continuous spinal and continuous epidural anaesthesia for lower limb surgery in elderly patients. A retrospective study,” Anaesthesia, vol. 44, no. 1, pp. 47–50, 1989. View at Scopus
  2. J. F. Favarel-Garrigues, F. Sztark, M. E. Petitjean, M. Thicoïpé, P. Lassié, and P. Dabadie, “Hemodynamic effects of spinal anesthesia in the elderly: single dose versus titration through a catheter,” Anesthesia and Analgesia, vol. 82, no. 2, pp. 312–316, 1996. View at Publisher · View at Google Scholar · View at Scopus
  3. T. Okutomi, M. Saito, M. Koura, and S. Hoka, “Spinal anesthesia using a continuous spinal catheter for cesarean section in a parturient with prior surgical correction of scoliosis,” Journal of Anesthesia, vol. 20, no. 3, pp. 223–226, 2006. View at Publisher · View at Google Scholar · View at Scopus
  4. G. Hocking and J. A. W. Wildsmith, “Intrathecal drug spread,” British Journal of Anaesthesia, vol. 93, no. 4, pp. 568–578, 2004. View at Publisher · View at Google Scholar · View at Scopus
  5. M. Goyal, S. Taxak, K. K. Kshetrapal, and M. K. Goel, “Continuous spinal anesthesia in a high risk elderly patient using epidural set,” Journal of Anaesthesiology Clinical Pharmacology, vol. 27, no. 1, pp. 139–141, 2011. View at Scopus
  6. T. Volk, A. Wolf, H. Van Aken, H. Bürkle, A. Wiebalck, and T. Steinfeldt, “Incidence of spinal haematoma after epidural puncture: analysis from the German network for safety in regional anaesthesia,” European Journal of Anaesthesiology, vol. 29, no. 4, pp. 170–176, 2012. View at Publisher · View at Google Scholar · View at Scopus
  7. M. L. Rigler, K. Drasner, T. C. Krejcie et al., “Cauda equina syndrome after continuous spinal anesthesia,” Anesthesia and Analgesia, vol. 72, no. 3, pp. 275–281, 1991. View at Scopus
  8. B. S. Rasmussen, L. Blom, P. Hansen, and S. S. Mikkelsen, “Postspinal headache in young and elderly patients. Two randomised, double-blind studies that compare 20- and 25-gauge needles,” Anaesthesia, vol. 44, no. 7, pp. 571–573, 1989. View at Scopus
  9. S. Abdulla, W. Abdulla, and R. Eckhardt, “Caudal normal saline injections for the treatment of post-dural puncture headache,” Pain Physician, vol. 14, no. 3, pp. 271–279, 2011. View at Scopus
  10. L. M. M. Morrison, J. H. McClure, and J. A. W. Wildsmith, “Clinical evaluation of a spinal catheter technique in femoro-popliteal graft surgery,” Anaesthesia, vol. 46, no. 7, pp. 576–578, 1991. View at Scopus
  11. P. J. Nightingale, “Barbotage and spinal anaesthesia. The effect of barbotage on the spread of analgesia during isobaric spinal anaesthesia,” Anaesthesia, vol. 38, no. 1, pp. 7–9, 1983. View at Scopus
  12. W. W. Tourtellotte, W. G. Henderson, R. P. Tucker, O. Gilland, J. E. Walker, and E. Kokman, “A randomized, double-blind clinical trial comparing the 22 versus 26 gauge needle in the production of the post-lumbar puncture syndrome in normal individuals,” Headache, vol. 12, no. 2, pp. 73–78, 1972. View at Scopus
  13. D. Bezov, R. B. Lipton, and S. Ashina, “Post-dural puncture headache: part i diagnosis, epidemiology, etiology, and pathophysiology,” Headache, vol. 50, no. 7, pp. 1144–1152, 2010. View at Publisher · View at Google Scholar · View at Scopus
  14. M. M. Charsley and S. E. Abram, “The injection of intrathecal normal saline reduces the severity of postdural puncture headache,” Regional Anesthesia and Pain Medicine, vol. 26, no. 4, pp. 301–305, 2001. View at Publisher · View at Google Scholar · View at Scopus
  15. C. C. Apfel, A. Saxena, O. S. Cakmakkaya, R. Gaiser, E. George, and O. Radke, “Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review,” British Journal of Anaesthesia, vol. 105, no. 3, pp. 255–263, 2010. View at Publisher · View at Google Scholar · View at Scopus