Tetracaine 척추마취후 발생한 지속적 근간대성 발작의 증례보고

The subarachnoid injection of local anesthetics to obtain lower limbs anesthesia has been used since 1899 by first August Bier. Transient neurologic complications during and immediately after spinal anesthesia are rare ; however we recently encountered a case of CNS toxicity that was nonspecific and...

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Published inKorean journal of anesthesiology Vol. 27; no. 5; pp. 513 - 517
Main Authors 송경상, Kyung Sang Song, 박경희, Kyung Hee Park, 김광성, Kwang Sung Kim, 이강원, Kang Won Lee, 박미경, Mi Kyung Park
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 30.05.1994
Subjects
CNS toxicity
Spinal Anesthesia
Tetracaine
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Summary:The subarachnoid injection of local anesthetics to obtain lower limbs anesthesia has been used since 1899 by first August Bier. Transient neurologic complications during and immediately after spinal anesthesia are rare ; however we recently encountered a case of CNS toxicity that was nonspecific and severe in a 30 year old man who had a hemiorrhaphy under spinal anesthesia using tetracaine with epinephrine. The exact cause of seizure attack was unknown, but we suspected it tetracaine induced CNS toxicity due to vascular absorption or cephalard movement in CSF.
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563