Unintended subdural anesthesia and subdural air bubbles after attempted epidural anesthesia in a patient undergoing cesarean section

Unintended subdural anesthesia accompanied by air bubbles compressing the cauda after attempting epidural anesthesia is rare. A 41-year-old pregnant woman was scheduled to undergo epidural anesthesia for cesarean section. After attempting epidural anesthesia, she experienced prolonged hypotension an...

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Bibliographic Details
Published in:Anesthesia and pain medicine (Korean society of anesthesiologists) 2024-04, Vol.19 (2), p.150-155
Main Authors: Kim, Jung Eun, Lee, Jinse, Lee, Giyear, Chung, Mi Hwa, Choi, Young Ryong, Choi, Eun Mi
Format: Article
Language:English
Subjects:
anesthesia
cauda equina
cesarean section
epidural
female
magnetic resonance imaging
Regional Anesthesia
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Summary:Unintended subdural anesthesia accompanied by air bubbles compressing the cauda after attempting epidural anesthesia is rare. A 41-year-old pregnant woman was scheduled to undergo epidural anesthesia for cesarean section. After attempting epidural anesthesia, she experienced prolonged hypotension and recovery time, especially in the right extremity. Through magnetic resonance imaging we found subdural air bubbles compressing the right side of the cauda equina in the L3 region. Thus, we considered unintended subdural anesthesia and performed conservative management with close observation. Her symptoms completely resolved within 24 h. Here, we report a case with various features of subdural anesthesia and subdural air bubbles compressing the cauda.
ISSN:1975-5171
2383-7977
DOI:10.17085/apm.23105