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The Annals of Thoracic Surgery, Vol 22, 289-292, Copyright © 1976 by The Society of Thoracic Surgeons

ARTICLES

Total spinal anesthesia: a rare complication of intrathoracic intercostal nerve block

CW Otto and CL Wall

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.


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Home page
 Ann. Thorac. Surg.Home page
J. A. Richardson and V. A. Anikin
Optimal thoracotomy analgesia
Ann. Thorac. Surg., September 1, 2003; 76(3): 978 - 978.
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Copyright © 1976 by The Society of Thoracic Surgeons.