Accidental Dural Puncture With An Introducer Needle (18 G) For Elective Caesarean Section: A Case Report

Journal of Obstetric Anaesthesia and Critical Care

article

Omar Rajab¹  Saleh Kanawati¹  Mohamad Ali Barada¹  Zoher Naja¹  Loubna Sinno¹ 

[1] Department of Anaesthesia, Makassed General Hospital

关键词: Caesarean section;    dural puncture;    spinal anaesthesia;   

DOI  :  10.4103/JOACC.JOACC_59_21

学科分类：社会科学、人文和艺术（综合）

来源: Medknow

【 摘 要 】

A 23-year-old parturient with a body mass index of 20.8 kg/m2 at term was admitted for elective caesarean section. Spinal anaesthesia was done using a 27-G pencil-point needle without an introducer guide, with the usage of a separate 18-G introducer needle. After the introduction of the introducer at the level of L4–L5, accidental free flow of cerebrospinal fluid (CSF) was seen. The introducer was withdrawn and inserted at the level of L3–L4, followed by the spinal needle. CSF backflow was seen; an anaesthetic mixture was given. Block was successful and caesarean section was done with no intraoperative complications.

【 授权许可】

CC BY-NC-SA