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KMID : 1155520170120020137
Anesthesia and Pain Medicine
2017 Volume.12 No. 2 p.137 ~ p.139
Failure after cerebrospinal fluid flow and success after no cerebrospinal fluid flow during spinal anesthesia induction for intrapartum cesarean section -A report of two cases-
Yoon Hea-Jo

Do Sang-Hwan
Kim Kwon-Il
Abstract
We report on failed spinal anesthesia (SA) after free flow of cerebrospinal fluid (CSF) and successful SA after no free flow of CSF in SA for laboring parturients undergoing emergency cesarean section (CS). We introduced a 25-gauge Sprotte type spinal needle for anesthesia for case 1 and confirmed backflow and aspiration of CSF. We injected 10 mg bupivacaine plus 15 ¥ìg fentanyl. However, sensory and motor block were not observed. During SA for case 2, a convincing dural ¡°pop¡± was felt but without flow of CSF. Injection of 10 mg bupivacaine and 15 ¥ìg fentanyl produced successful sensory and motor block suitable for CS. The failure or success of SA in these intrapartum CS cases ran contrary to our expectations and could be related to the use of pencil-point needle and movement of the dura mater during labor.
KEYWORD
Cerebrospinal fluid, Cesarean section, Spinal anesthesia
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