Unintentional paediatric subdural catheter with oculomotor and abducens nerve palsies

Paediatric Anaesthesia

Volumn 9, Issue 6, 1999, Pages 543-548

  Haughton, Andrew John ^a,b   Chalkiadis, George A ^a  

^a ROYAL CHILDREN'S HOSPITAL   (Australia)

^b PALMERSTON NORTH HOSPITAL   (New Zealand)

Author keywords

Anaesthetic technique: epidural; Complications: epidural; Subdural

Indexed keywords

BUPIVACAINE;

ABDUCENS NERVE; ADOLESCENT; ANESTHESIA COMPLICATION; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; CASE REPORT; CATHETERIZATION; EPIDURAL CATHETER; FEMALE; HUMAN; LAMINECTOMY; OCULOMOTOR NERVE; OPHTHALMOPLEGIA; PRIORITY JOURNAL;

ABDUCENS NERVE DISEASES; ANALGESICS, OPIOID; ANESTHESIA, EPIDURAL; ANESTHETICS, LOCAL; BUPIVACAINE; CATHETERIZATION; CHILD; FEMALE; FENTANYL; HUMANS; MEDICAL ERRORS; OCULOMOTOR NERVE DISEASES; SUBDURAL SPACE;

EID: 0032708128     PISSN: 11555645     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1460-9592.1999.00412.x     Document Type: Article

References (40)

1. Mocan M, Gamulin Z, Klopfenstein CE. Accidental catheterisation of the subdural space: a complication of continuous spinal and continuous peridural anaesthesia. Can J Anaesth 1989; 36: 708-712.
2. Abouleish E, Goldstein M. Migration of an extradural catheter into the subdural space. Anaesthesia 1986; 58: 1194-1197.
3. Boys JE, Norman PF. Acccidental subdural analgesia. Br J Anaesth 1975; 47: 1111-1113.
4. Brindle-Smith C, Barton FL, Watt JH. Extensive spread of local anaesthetic solution following subdural insertion of an epidural catheter during labour. Anaesthesia 1984; 39: 355-358.
5. Chandwick HS, Christopher M, Bernards MD et al. Subdural injection of morphine for analgesia following Cesarian section: A report of 3 cases. Anesthesiology 1992; 77: 590-594.
6. Collier CB. Accidental subdural block: four more cases and a radiological review. Anaesth Intens Care 1992; 20: 215-219.
7. Collier CB, Gatt SP, Lockley SM. A continuous subdural block. Br J Anaesth 1993; 70: 590-594.
8. Conklin KA, Van der Wal C. Epidural anaesthesia with chlorprocaine. Anaesthesia 1980; 35: 202-204.
9. Crosby ET, Halpern SH. Obstetric epidural anaesthesia in patients with Harrington rod instrumentation. Can J Anaesth 1989; 36: 693-696.
10. Findley I, Shandro J. Delayed onset spinal after epidural analgesia. Anaesthesia 1982; 37: 602-603.
11. Lee YJ, Bundschu RH, Moffat EC. Unintentional subdural block during labour epidural in a parturient with prior Harrington rod insertion for scoliosis. Reg Anesth 1995; 20: 159-162.
12. Manchandra VN, Murad SHN, Shilyansky G et al. Unusual clinical course of accidental subdural anesthetic injection. Anesth Analg 1983; 62: 1124-1126.
13. Paech M. A most unusual subdural block. Anaesth Intens Care 1988; 16: 448-491.
14. Ralph CJ, Williams MP. Subdural or epidural? Confirmation with magnetic resonance imaging. Anaesthesia 1996; 51: 175-177.
15. Rowbottom T, Kong AS, Chan M et al. Subdural blockade. Anaesth Intens Care 1993; 21: 132-133.
16. Soni N, Holland R. An extensive lumbar epidural block. Anaesth Intens Care 1981; 9: 150-153.
17. Hartrick CT, Pither CE, Pai U et al. Subdural migration of epidural catheter. Anesth Analg 1985; 64: 175-178.
18. Chauhan S, Gaur A, Tripathi M. Unintentional combined epidural and subdural block. Reg Anesth 1995; 20: 249-251.
19. Williamson JA. Inadvertent spinal subdural injection during attempted spinal epidural steroid therapy. Anaesth Intens Care 1990; 18: 406-408.
20. Asato F, Nakatani K, Matayoshi Y et al. Development of a subdural motor blockade. Anaesthesia 1993; 48: 46-49.
21. Mizuyama K, Dohi S. An accidentai subdural injection of local anaesthetic resulting in respiratory depression. Can J Anaesth 1993; 40: 83-84.
22. Scott DB. Test doses in extradural analgesia. Br J Anaesth 1978; 50: 304.
23. Reynolds F, Speedy HM. The subdural space: the third space to go astray. Anaesthesia 1990; 45: 120-123.
24. Mehta M, Maher R. Injection into the extra-arachnoid subdural space. Anaesthesia 1977; 32: 760-766.
25. Blomberg RG. The lumbar subdural extraarachnoid space of humans: an anatomical study using spinaloscopy in autopsy cases. Anesth Analg 1987; 66: 177-180.
26. Lubneow T, Keh-Wong E, Kristof K et al. Inadvertent subdural injection: a complication of an epidural block. Anesth Analg 1988; 67: 175-179.
27. Hubbert CH. Epidural anesthesia in patients with spinal fusion. Anesth Analg 1985; 64: 843-850.
28. Bromage PR, Bramwell RSB, Catchlove RFH et al. Peridurography with metrizamide. Radiology 1978; 128: 123-126.
29. Bosenberg AT, Bland BAR, Schulte-Steinberg O et al. Thoracic epidural anesthesia via caudal routes in infants. Anesthesiology 1988; 69: 265-269.
30. Sjogren T, Gefke K, Banning AM. Lumbar epidurography and epidural analgesia in cancer patients. Pain 1989; 36: 305-309.
31. Sanchez R, Acuha L, Rocha F. An analysis of the radiological visualisation of the catheters placed in the epidural space. Br J Anaesth 1967; 39: 485-488.
32. Dawkins CJM. An analysis of the complications of extradural and subdural block. Anaesthesia 1969; 24: 554-563.
33. De Veuster I, Smet H, Vercauteren M et al. The time course of a sixth nerve palsy following epidural anesthesia. Ophthalmology 1994; 252: 45-47.
34. Whiting AS, Johnson LN, Martin DE. Cranial nerve paresis following epidural and spinal anesthesia. Trans PA Acad Ophthalmol Otolaryngol 1990; 42: 972-973.
35. Snell S, Katz J. Clinical Anatomy for Anesthetists, 4th edn. Boston, MA: Appelton and Lange, 1993: 227-242.
36. Collier C. The extent of the subdural space. Reg Anesth 1996; 21: 75.
37. Stevens RA, Stanton Hicks MD. Subdural injection of local anesthetic: a complication of epidural anesthesia. Anesthesiology 1985; 63: 323-326.
38. Jones MD, Newton TH. Inadvertent extra-arachnoid injections in myelography. Radiology 1963; 80: 818-821.
39. Walter AD. Epidural and subdural contrast in myelography and CT myelography. Eur J Radiol 1993; 16: 147-150.
40. Hogan Q. Were They Subdural Injections? Anesthesiology 1993; 78: 125.