Complications of Spinal Anaesthesia

Yıl 2012, Cilt: 2 Sayı: 2, 127 - 134, 01.06.2012

Serkan Dogru Ziya Kaya Hatice Yılmaz Dogru

Öz

Spinal anaesthesia was a common regional anaesthesia technique that performed by anaesthesiologists since 1898. Under improved experiences and techniques of anaesthesiologists, administration of spinal anaesthesia expands at last 10 years. Benefits of spinal anaesthesia include a range from decreased mortality and morbidity to increased tissue oxigenation and pain management. Beside its efficacy and improvements in spinal anaesthesia techniques and methods, potential complications increasingly occur as a result of administration by anaesthesiologists. Although spinal anaesthesia has a low complication rate, it may cause serious problems when a complication occurs. We aimed to review complications of spinal anaesthesia within current literatures.

Anahtar Kelimeler

Spinal anaesthesia; complications; regional anesthesia

Spinal Anestezi Komplikasyonları

Öz

Spinal anestezi 1898 yılından günümüze kadar anestezistler tarafından yaygın olarak kullanılan bir rejyonel anestezi tekniğidir. Spinal anestezi, anestezistlerin tecrübeleri, bilgi ve becerilerinin artmasıyla, son 10 yılda giderek artan bir şekilde kullanılmaya devam etmektedir. Spinal anestezinin, anestezi uygulamalarında sağladığı yararlar; azalmış mortalite ve morbiditeden, artmış doku oksijenasyonu ve ağrı tedavisine kadar gitmektedir. Sağladığı yararlar yanında, hem spinal anestezi tekniklerinin gelişmesi hem de uygulama yöntemlerindeki gelişmeler neticesinde anestezistler tarafından sıklıkla uygulanması, potansiyel komplikasyonlarda da artış meydana getirmiştir. Spinal anestezi komplikasyonları oldukça nadir görülmesine rağmen, meydana geldiklerinde ciddi sorunlara neden olabilmektedir. Bu derlemede, spinal anestezi komplikasyonlarını yeni literatürler eşliğinde tekrar gözden geçirmeyi amaçladık.

Anahtar Kelimeler

Spinal anestezi; komplikasyonlar; bölgesel anestezi

Kaynakça

• Auroy Y, Benhamou D, Bargues L, et al. Major Complications of Regional Anesthesia in France. Anaesthesiology 2002;97(5):1274-80.
• Nielsen KC, Steele SM. Outcome after regional anaesthesia in the ambulatory setting- is it really worth it? Best Pract Res Clin Anaesthesiol 2001;16(2):145-57.
• Mordecai MM, Brull SJ. Spinal anesthesia. Curr Opin Anaesthesiol 2005;18(5):527-33.
• Chin KJ, Perlas A, Chan V, et al. Ultrasound Imaging Facilities Spinal Anesthesia in Adults with Difficult
• Anaesthesiology 2011;115(1):94-101. Anatomic
• Landmarks. 5. Watson MJ, Evans S, Thorp JM. Colud ultrasonography be used by an anaesthetist to identify a specified lumbar interspace before spinal anaesthesia. Br J Anaesth 2003(4);90:509-11.
• Chakraverty R, Pynsent P, Isaacs K. Which spinal levels are identified by palpation of the iliac crests and the posterior superior iliac spines? J Anat 2007:210(2);232-6.
• Apfel CC, Saxena A, Çakmakkaya OS, et al. Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. Br J Anaesth 2010;105(3):255-63.
• Agarwal A, Kishore K. Complications And Contraversies Of Regional Anaesthesia: A Review. Indian J Anaesth 2009;53(5):543-53.
• Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth 2003;91(5):718-29.
• Shaikh JM, Memon A, Memon MA, et al. Post dural Puncture Headache After Spinal Anaesthesia For Caesarean Section: A Comparison of 25G Quincke, 27G Quincke and 27G Whitacre Spinal Needles. J Ayub Med Coll Abbottabad 2008;20(3):11-3.
• Baysinger CL, Pope JE, Lockhart EM, et al. The management of accidental dural puncture and postdural puncture headache: a North American survey. J Clin Anesth 2011;23(5):349-60.
• Hartmann B,Junger A, Klasen J, et al. The Incidence and Risk Factors for Hypotension After Spinal Anaesthesia Induction: An Analysis with Automated Data Collection. Anesth Analg 2002;94(6):1521-9.
• Jackson R, Reid JA, Thorburn J. Volume preloading is not essential to prevent spinal-induced hypotension at Caesarean section. Br J Anaesth 1995;75(3):262-5.
• Cyna AM, Andrew M, Emmett RS, et al. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database Syst Rev. 2006;18(4):CD002251.
• Saravan S, Kocarev M, Wilson RC, et al. Equivalent dose of ephedrine and phenylephrine in the prevention of post-spinal hypotension in Caesarean section. Br J Anaesth 2006;96(1):95-9.
• Ngan Kee WD, Khaw KS, Ng FF. Prevention
• Anaesthesia for Caesarean Delivery. Anesthesiology 2005;103(4):744-50. during
• Spinal 17. Ngan Kee WD, Khaw KS, Lee BB, et al. Randomised controlled study of colloid preload before spinal anaesthesia for Caesarean section. Br J Anaesth 2001;87(5):772-4.
• Irita K, Kawashima Y, Morita K, et al. Critical incidents during regional anesthesia in Japanese Society of Anesthesiologists-Certified Training Hospitals: an analysis of responses to the annual survey conducted between 1999 and 2002 by the Japanese Society of Anesthesiologists. Masui 2005;54(4):440-9.
• Pollard JB. Cardiac Arrest During Spinal Anesthesia: Common Mechanisms and Strategies for Prevention. Anesth Analg 2001;92(1):252-6
• Schwabe K, Hopf HB. Persistent back pain after spinal anaesthesia in the non-obstetric setting: incidence and predisposing factors. Br J Anaesth 2001;86(4):535-9.
• Abraham AA, Shetty R, Ninan M. Late Complications of Spinal Anaesthesia – A Prospective Study of 5000 Cases. J Anaesth Clin Pharmacol 2010;26(1):39-44.
• Erk G. Rejyonal Anestezi ve Nörolojik Komplikasyonlar. Turkiye Klinikleri J Anest Reanim 2007;5(2):87-97. Derleme.
• Kreutziger J, Frankenberger B, Luger TJ, et al. Urinary retention after spinal anaesthesia with hyperbaric prilocaine 2% in an ambulatory setting. Br J Anaesth 2010;104(5):582-6.
• Kamphius ET, Ionescu TI, Kuipers PWG, et al. Recovery of Storage and Emptying Functions of the Urinary Bladder after Spinal Anesthesia with Lidocaine and with Bupivacaine in Men. Anesthesiology 1998;88(2):310-6.
• Dutta S. Post-Operative Urinary Retention in Elective Total Hip and Knee Replacement Surgery. BMJP 2008;1(2):28-32.
• Baldini G, Bagry H, Aprikian A, et al. Postoperative Urinary Retention: anesthetic and perioperative 2009;110(5):1139-57.
• Anaesthesiology 27. Panning B, Mehler D, Lehnhardt E. Transient low-frequency hypoacousia after spinal anesthesia. Lancet 1983;2(8349):582.
• Fog J, Wang LP, Sundberg A, et al. Hearing Loss After Spinal Anaesthesia Is Related to Needle Size. Anesth Analg 1990;70(5):517-22.
• Frank SM, El-Rahmany HK, Cattaneo CG, et al. Predictors of Hypothermia during Spinal Anaesthesia. Anesthesiology 2000;92(5):1330-4.
• Lee A, Ngan Kee WD, Gin T. Prophylactic ephedrine prevents hypotension during spinal anesthesia for Caesarean delivery but does not improve neonatal outcome: a quantitative systemic review. Can J Anesth 2002;49(6):588-99. Review.
• Chinachoti T, Tritrakarn T. Prospective Study of Hypotension and Bradycardia during Spinal Anesthesia with Bupivacaine: Incıdence and Risk Factors. J Med Assoc Thai 2007;90(3):492- 501.
• Visalyaputra S. Maternal mortality related to anesthesia: can it be prevented? Siriraj Hosp Gaz 2002;54(9):533-9.
• Max GF, Rabin JM. Anesthesia for cesarean section and neonatal welfare. In: Raynols F, editor. The effects on the baby of maternal analgesia and anesthesia. London: WB Saunders; 1993: 237-51.
• Rout CC, Rocke DA. Prevention of hypotension following spinal anesthesia for cesarean section. Int Anesthesiol Clin 1994; 32(2): 117-35.
• Chinachoti T, Saetia S, Chaisiri P, et al. Incidence and risk factors of hypotension and bradycardia during spinal anesthesia. Siriraj Med J 2006; 58(3):696-701.
• Lee A, Ngan Kee WD, Gin T. A Quantitative, Systematic Review of Randomized Controlled
• Phenylephrine for the Management of Hypotension During Spinal Anesthesia for Cesarean Delivery. Anesth Analg 2002;94(4):920-6. Review.
• Versus 37. Brull R, McCartney CJ, Chan VW, et al. Neurological
• Anesthesia: Contemporary Estimates of Risk. Anesth Analg 2007;104(4):1965-74.
• Regional 38. Lamonerie L, Marret E, Deleuze A, et al. Prevalence of postoperative bladder distention and urinary
• measurement. Br J Anaesth 2004;92(4):544-6. by ultrasound