Saludes J, Masip R, Sala P, Gómez E, Rull M
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitari Sant Joan, Reus, Tarragona.
Rev Esp Anestesiol Reanim. 1996 Nov;43(9):330-2.
Subarachnoid block is a widely practiced anesthetic technique. With the availability of small-diameter needles and the rises in out-patient surgery, the number of procedures performed with subarachnoid block and short-term local anesthesia have increased. We report two cases of bilateral pain in the lower extremities appearing 20-24 h after intradural anesthesia with 2% hyperbaric lidocaine. We analyze the factors that might have triggered this complication and compare the two patients with 14 others described in the literature. Three points in common were found: the use of hyperbaric lidocaine, administration of the agent through small gauge needles and the performance of out-patient surgery.
蛛网膜下腔阻滞是一种广泛应用的麻醉技术。随着小直径穿刺针的出现以及门诊手术的增加，采用蛛网膜下腔阻滞和短期局部麻醉进行的手术数量有所上升。我们报告了2例在使用2% 高压利多卡因进行硬膜内麻醉后20 - 24小时出现双侧下肢疼痛的病例。我们分析了可能引发该并发症的因素，并将这2例患者与文献中描述的其他14例患者进行了比较。发现了三个共同点：使用高压利多卡因、通过小口径穿刺针给药以及进行门诊手术。
