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KMID : 0390320080180010370
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Chungbuk Medical Journal
2008 Volume.18 No. 1 p.370 ~ p.375
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Total Spinal Anesthesia Following Accidental Dural Puncutre
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Kim Eun-Seok
Kim Sang-Tae
Lee Dong-Hun
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Abstract
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Epidural anesthesia is routinely performed at obstetric area and dural puncture is not rare complication. Total spinal anesthesia following accidental intrathecal spread of local anesthetics is life-threatening complication but has good prognosis if rapid and appropriate management are performed. Ventilation, arterial blood pressure and heart rate should be supported. Careful aspiration, use of a test dose, and incremental injection technique can help to avoid this complication. We report two cases of total spinal anesthesia following accidental dural puncture.
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KEYWORD
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Dural Puncutre, Epidural anesthesia and Total spinal anesthesia
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