2018, Number 3
Pneumoencephalon as Complication of epidural Block: Case report
Miranda NG, Aguirre AA, López JFA, Ojeda DJL
Full text
Language: Spanish
References: 9
Page: 35-42
PDF size: 648.33 Kb.
ABSTRACT
Complications arising under the stage of regional anesthesia, and in this case the central blocks (epidural and subarachnoid) cause sympathetic blockade, sensory analgesia and motor block at greater or lesser extent depending on the technique used, the dose, concentration, the volume of drug used. These are very useful techniques in lots of surgical procedures and for prolonged and effective postoperative analgesia. The debate about the safety, effectiveness and benefits of these techniques has increased since the late twentieth century, after widespread use. Major complications are rare, but when they appear, they result with serious complications. This is especially unusual in the obstetrical and gynecological procedures, in which patients are young and healthy and in which a complication or irreversible injury will be hardly understandable. There are very few recorded numbers of patients in which they have been affected by the complications related to neuraxial blockades. One of the biggest is including 500,000 patients who underwent epidural block for labor, estimating 1/47000 complications. The aforementioned complications are diverse in literature and the severity may vary.A female patient of 38 years old with an extensive history of diagnosis of diabetes mellitus and hypertension, secundigesta, undergoing hysterectomy; follows immediately, her trans and postoperative period without major problems, but after 24 hours begins with severe headache that does not yield to the usual analgesics, and even increases as spend the next few hours, so it is taken to the service of Neurology, detecting meningeal data and severe pain, so a CT skull is made and detected pneumoencephalus.
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