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Canadian Journal of Anesthesia, Vol 25, 509-511, Copyright © 1978 by Canadian Anesthesiologists' Society

Uneventful Extradural Analgesia after Unrecognized Dural Perforation

SERGIO GREGORETTI M.D.1

1 Department of Anaesthesia, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Que., H3A 1A1

A case is reported of an uneventful continuous extradural block in spite of unrecognized dural perforation. Although the perforation was recognized later during the block, the dura was probably pierced during the insertion of the catheter and only later the terminal hole came to lie in the subarachnoid space. Consequently both extradural and subarachnoid spread of the injected local anaesthetic occurred, preventing an extensive subarachnoid block.

Note:

Present address: Dept. of Anaesthesia, Ospedale Maggiore, Trieste, Italy.






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Copyright © 1978 by the Canadian Anesthesiologists' Society.