Bupivacaine Induces Transient Neurological Symptoms After Subarachnoid Block

$48.00 plus tax (Refund Policy)

Download / Buy Article:

Abstract:

Abstract:

Bupivacaine is a long-acting amide local anesthetic that was introduced to clinical practice in the early 1980s. Since then it has been extensively used for both peripheral blocks as well as neuraxial blockade in concentrations varying from 0.125% to 0.75%. Despite the relatively narrow safety margin, bupivacaine has become the most frequently used local anesthetic in obstetric anesthesia. 1 It is 95% metabolized in the liver and 5% excreted unchanged in urine. 2 Bupivacaine cardiotoxicity is related to the total dose rather than to the concentration of bupivacaine administere. 3 It produces a dose-dependent delay in the transmission of impulses through the cardiac conduction system by blocking sodium channels. 4 Transient neurologic symptoms (TNS) defined as bilateral symmetrical pain in the lower back and buttocks with radiation to both lower extremities after 5% lidocaine spinal anesthetic was first described by Schneider in 1993. 7 Several studies have failed to show TNS after spinal anesthesia using bupivacaine 0.5% or 0.75%. 8,9 In the literature there is only 1 case report 10 of TNS after spinal anesthesia using bupivacaine and morphine. The following report describes a case of TNS following spinal anesthesia with bupivacaine 0.75%.

Keywords: postspinal pain; sensory changes; spinal; subarachnoid block; transient neurological irritation; transient neurological symptoms

Document Type: Research Article

DOI: http://dx.doi.org/10.1046/j.1533-2500.2002.02005.x

Affiliations: 1: Resident, Division of Anesthesiology and Critical Care Medicine, 2: Staff, Division of Anesthesiology and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio

Publication date: March 1, 2002

Related content

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more