A case report of total spinal anesthesia in cesarean section

Articles in Press

Document Type : Case report

Authors

1 دانشیار گروه بیهوشی، دانشکده پزشکی، مرکز تحقیقات بیهوشی و کنترل درد، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

2 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

3 Associate Professor of Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

4 استادیار گروه زنان، مرکز تحقیقات سلامت و بیماری های زنان، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

10.22038/ijogi.2024.79411.6067

Abstract

Introduction: Complete spinal anesthesia is a rare but life-threatening complication and is characterized by decreased level of consciousness, hypotension, bradycardia and respiratory failure. The present study The present study reported a case of complete intraspinal anesthesia in cesarean section.

Case Presentation: A 33-year-old female patient with gravid 2 referred to Ostad Motahari Hospital for a cesarean section. Spinal anesthesia was performed in a sitting position with a size 25 spinal needle and with the first attempt at the L3-L4 level, and then the patient was placed in the supine position, and with a brief Trendelenburg position, the level of anesthesia was raised to T4, and after ensuring the sensory block and The engine of the patient's bed was placed in a flat state without position, and the surgical site was disinfected twice a day. The patient's blood pressure 3 minutes after spinal anesthesia was 72.103 mm Hg and heart rate was 84 times per minute. At this moment and before making the surgical incision, the patient's level of consciousness suddenly dropped.

Conclusion: Based on the results of the present study, although the prevalence of complete spinal anesthesia is very limited and few, but this complication can pose a great threat to the mother and the fetus during cesarean section, so knowing the effective factors in reducing this complication can He took an effective step in reducing this complication as much as possible.

Keywords

Main Subjects

The Iranian Journal of Obstetrics, Gynecology and Infertility

Articles in Press, Accepted Manuscript
Available Online from 25 May 2024

Files

Share

How to cite

Statistics