Occurrence of Total Spinal Anesthesia after Caudal Anesthesia in a Newborn Patient: A Case Report of a Challenging Complication

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Babajani Alireza; Feizollahzadeh Nafiseh; Koohsoltani Hamed

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Journal Paper

Paper Information

Journal: ARCHIVES OF ANESTHESIOLOGY AND CRITICAL CARE Year:2024 | Volume:10 | Issue:Supp 2 Page(s): 641-643

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Information Journal Paper

Title

Occurrence of Total Spinal Anesthesia after Caudal Anesthesia in a Newborn Patient: A Case Report of a Challenging Complication

Author(s)

Babajani Alireza | Feizollahzadeh Nafiseh | Koohsoltani Hamed | Issue Writer Certificate

Keywords

Caudal anesthesia;Caudal block;Total spinal anesthesia;Inguinal hernia surgery

Abstract

A 2-month and 13-day-old boy underwent surgery for a right inguinal hernia. During the procedure, a caudal block was performed using 4 mL of 0.25% bupivacaine injected with an epinephrine-soaked syringe. Before the injection, we confirmed that there was no blood or cerebrospinal fluid present. However, shortly after the injection, the patient experienced respiratory apnea and a slow heart rate. The medical team provided respiratory and cardiac support and closely monitored the patient. After a day and a half, the patient was discharged with no further complications.

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