Shah Saurin J, Vanderhoef Kristen, Ibrahim Michael
Department of Anesthesiology, University of Florida College of Medicine Jacksonville, Jacksonville, FL, USA.
Case Rep Anesthesiol. 2020 Sep 30;2020:8880464. doi: 10.1155/2020/8880464. eCollection 2020.
Neuraxial anesthesia has become the preferred method of anesthesia for nonemergent cesarean delivery and cases where regional anesthesia is not contraindicated. Multiple cases of broken spinal and epidural needles have been reported in the literature over the last several years; however, the specific incidence of needle breakage is still unknown. Less reliance on general anesthesia and increasing parturient body mass index (BMI) has likely contributed to more reports of broken needles during regional anesthesia for obstetric surgery. We describe a case of a broken spinal needle after attempted spinal anesthetic placement for cesarean delivery in a morbidly obese parturient, subsequent postoperative management, and current treatment recommendations.
神经轴索麻醉已成为非急诊剖宫产及区域麻醉无禁忌证情况下的首选麻醉方法。在过去几年的文献中已报道了多例腰麻和硬膜外穿刺针折断的病例；然而，针折断的具体发生率仍不清楚。对全身麻醉的依赖减少以及产妇体重指数（BMI）的增加，可能导致了产科手术区域麻醉期间更多针折断报告的出现。我们描述了一例病态肥胖产妇剖宫产术腰麻穿刺尝试后腰麻针折断的病例、后续的术后处理以及当前的治疗建议。
