Total spinal block after lumbar plexus block: a case report

Abstract

Lumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total spinal block, an unusual complication. LPB with sciatic block was planned for a male patient, 76 years old, scheduled for total knee replacement due to gonarthrosis. The patient became unconscious after psoas compartment block with Chayen technique for LPB. The operation ended at 145th minute. The patient was admitted to intensive care unit until postoperative second day and discharged to home on fifth day of surgery. Main concern of patient monitorization should be an anesthesiologist. In this manner, we conclude that contacting to the patient should be ensured during these procedures.

Total spinal anesthesia caused by lidocaine during unilateral percutaneous vertebroplasty performed under local anesthesia: A case report

“…Albi-Feldzer et al [ 23 ] and Beyaz et al [ 24 ] reported total spinal anesthesia as a complication of thoracic paravertebral block. Dogan et al [ 25 ] reported total spinal anesthesia after lumbar plexus block. There were several reports of total spinal anesthesia after intercostal nerve block[ 26 , 27 ].…”

Total Spinal Anaesthesia: A Rare Complication of Psoas Compartment Block

“…Till date only one case of total spinal anaesthesia has been reported with LPB with Chayen’s approach ( 7 ). In our case, the patient became unconscious and haemodynamically unstable after PCB and required inotropic support and ventilation.…”

“…Although total spinal anaesthesia is a rare complication, drastic consequences can occur. It has been reported in one case report till date ( 7 ). We encountered total spinal anaesthesia in a patient posted for above-knee amputation by PCB.…”

Ultrasound‐guided lumbar plexus block in children and adolescents using a transverse lumbar paravertebral sonogram: Initial experience

“…The transverse transducer orientation in the mid‐axilla allows visualization of the LP through a large acoustic window and avoids placing the boney structure of the TP between the target LP and the transducer as reported in previous techniques. Rare but severe complications have been attributed to LPB . The lateral transverse ultrasound approach facilitates continuous needle imaging and visualization of the many critical structures in proximity to the LP target structures, including the aorta, vena cava, and kidney.…”