Otto C W, Wall C L
Ann Thorac Surg. 1976 Sep;22(3):289-92. doi: 10.1016/s0003-4975(10)64919-3.
Total spinal anesthesia following intrathoracic intercostal nerve blocks with bupivacaine performed for postoperative pain relief during thoracotomy is described. Possible mechanisms for this complication include: (1) inadvertent placement of the needle through an intervertebral foramen, (2) puncture of a long dural cuff, and (3) intraneural injection with central spread. Recognition of this potential complication is important, and facilities for proper support must be available.
描述了在开胸手术期间为缓解术后疼痛而使用布比卡因进行胸段肋间神经阻滞之后发生的全脊髓麻醉情况。这种并发症的可能机制包括：(1) 针头意外穿过椎间孔；(2) 刺破长的硬脊膜袖套；(3) 神经内注射并向中枢扩散。认识到这种潜在并发症很重要，且必须具备适当支持的设施。
