Intensive Care Medicine AZ Delta, Roeselare, Belgium.
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221090841. doi: 10.1177/23247096221090841.
Spinal anesthesia is common practice and rarely causes complications. Although extended experience is present, seldom side effects of this technique and the administration of intrathecal local anesthetics and/or opioids can occur. We present a case in which a 76-year old woman undergoing total hip arthroplasty received a low dose of intrathecal bupivacaine and sufentanil. One hour after administration, she developed myoclonic seizures of the lower extremities followed by generalized tonic-clonic seizures and status epilepticus. We conclude that status epilepticus is a rare and possible lethal side effect of intrathecal bupivacaine. Symptoms may be misleading, highlighting the importance of early recognition and adequate management.
脊髓麻醉是一种常见的做法，很少引起并发症。尽管有丰富的经验，但这种技术和鞘内局部麻醉剂和/或阿片类药物的给药偶尔会出现副作用。我们报告了一例 76 岁女性患者在接受全髋关节置换术时接受了低剂量的布比卡因和舒芬太尼。给药后 1 小时，她出现下肢肌阵挛性抽搐，随后出现全身强直阵挛性发作和癫痫持续状态。我们得出结论，癫痫持续状态是鞘内布比卡因罕见且可能致命的副作用。症状可能具有误导性，强调了早期识别和充分管理的重要性。
