Frequent Spinal Anesthesia in a Patient with Traumatic Lower Extremity Injury: A Case Report

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TARBIAT MASOUD; Majidi Morteza; MANOUCHEHRIAN NAHID

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Journal Paper

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Journal: Anesthesiology and Pain Medicine Year:2019 | Volume:9 | Issue:2 Page(s): 0-0

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Title

Frequent Spinal Anesthesia in a Patient with Traumatic Lower Extremity Injury: A Case Report

Author(s)

TARBIAT MASOUD | Majidi Morteza | MANOUCHEHRIAN NAHID | Issue Writer Certificate

Keywords

Anesthesia

Spinal

Bupivacaine

Lower Extremity

Abstract

Introduction: Spinal Anesthesia is a commonly used anesthetic technique for Lower Extremity surgery. Despite its widespread use, the acceptable frequency of repeated Spinal Anesthesia for a patient is unclear. Therefore, herein, we report a patient who frequently received Spinal Anesthesia. Case Presentation: A 21-year-old man with severe head and leg injury was admitted to the hospital after a motorcycle accident. On admission, he had a tracheal tube and GCS score of six. After emergency vascular and orthopedic surgeries under general Anesthesia, he was transported to the ICU. Within 12 days of admission to the ICU, he was extubated with full awareness. After consultation with a neurosurgeon for Spinal Anesthesia, the patient received seven Spinal Anesthesia procedures for his Lower Extremity injury in a period of 15 days. Spinal Anesthesia was performed at the L3-L4 or L4-L5 interspace with 24 or 25-gauge Quincke needles in the sitting position (12-15 mg of 0. 5% hyperbaric Bupivacaine) by four anesthesiologists. Despite performing several Spinal Anesthesia procedures, no neurologic sequelae were observed. Finally, he was discharged in a good overall condition. At a four-month follow-up, the patient was in a stable situation without any neurological complications. Conclusions: This report emphasizes that Spinal Anesthesia with hypertonic Bupivacaine could be used several times for a patient in some situation.

Cites

Comparison of Intravenous bolus Phenylephrine and Ephedrine in the Prevention of Post-spinal Hypotension during Cesarean Section

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APA: Copy

TARBIAT, MASOUD, Majidi, Morteza, & MANOUCHEHRIAN, NAHID. (2019). Frequent Spinal Anesthesia in a Patient with Traumatic Lower Extremity Injury: A Case Report. ANESTHESIOLOGY AND PAIN MEDICINE, 9(2), 0-0. SID. https://sid.ir/paper/766847/en

Vancouver: Copy

TARBIAT MASOUD, Majidi Morteza, MANOUCHEHRIAN NAHID. Frequent Spinal Anesthesia in a Patient with Traumatic Lower Extremity Injury: A Case Report. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2019;9(2):0-0. Available from: https://sid.ir/paper/766847/en

IEEE: Copy

MASOUD TARBIAT, Morteza Majidi, and NAHID MANOUCHEHRIAN, “Frequent Spinal Anesthesia in a Patient with Traumatic Lower Extremity Injury: A Case Report,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 9, no. 2, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/766847/en

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