Continuous Spinal Anesthesia following Inadvertent Dural Puncture during Epidural Placement for an Emergency Laparotomy
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Public Health
Abstract
Emergency exploratory laparotomy conducted under continuous spinal anesthesia using a standard epidural set
following an accidental dural puncture. Background and Objectives. Continuous spinal anesthesia is one of the least utilized
regional anesthesia techniques globally. It could be an alternative anesthesia technique for abdominal and lower limb surgeries
following an accidental dural puncture. 'e aim of this report was to describe a case in which continuous spinal anesthesia was
successfully conducted for emergency exploratory laparotomy following an accidental dural puncture during epidural placement.
Case Report. A 38-year-old male presented to our accident and emergency unit with a one-day history of colicky abdominal pain
associated with constipation, abdominal distension, and vomiting. He was diagnosed with intestinal obstruction and underwent
an emergency exploratory laparotomy under continuous spinal anesthesia using a standard epidural set following an accidental
dural puncture. Conclusion. 'is case demonstrates that in case of an accidental dural puncture during epidural placement, the
catheter can be advanced into the intrathecal space and continuous spinal anesthesia conducted for abdominal surgeries using a
standard epidural catheter.
Description
Keywords
Spinal Anesthesia, exploratory laparotomy, abdominal
Citation
Namisi, C. P., Munene, J. C., Wanyenze, R. K., Katahoire, A. R., Parkes-Ratanshi, R. M., Kentutsi, S., ... & Tumwesigye, N. M. (2021). Stigma mastery in people living with HIV: gender similarities and theory. Journal of Public Health, 1-15.https://doi.org/10.1155/2021/8819864