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KMID : 0363120090220020163
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Korean Journal of Pain
2009 Volume.22 No. 2 p.163 ~ p.166
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Pneumocephalus Developed during Epidural Anesthesia for Combined Spinal-Epidural Anesthesia
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Kim Youn-Jin
Baik Hee-Jung
Kim Jong-Hak
Jun Joo-Hyun
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Abstract
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The superiority of air versus saline for identifying the epidural space remains unestablished. Epidural anesthesia using a loss of resistance technique (LORT) with air is associated with increasing complications of dural puncture-induced headaches and neurological and hemodynamic changes. Here, we described a case of pneumocephalus with a large amount of air that was accompanied by severe headache and nuchal and chest pain occurring after epidural block using LORT with air for combined spinal-epidural anesthesia.
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KEYWORD
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air, combined spinal-epidural anesthesia, headache, loss of resistance technique, pneumocephalus
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