Does a paresthesia during spinal needle insertion indicate intrathecal needle placement?

Regional Anesthesia and Pain Medicine

Volumn 34, Issue 1, 2009, Pages 29-32

  Pong, Ryan P ^a   Gmelch, Benjamin S ^a   Bernards, Christopher M ^a,b  

^a VIRGINIA MASON MEDICAL CENTER   (United States)

^b VMMC ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; CHLOROPROCAINE;

ADULT; AGED; ARTICLE; CEREBROSPINAL FLUID; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PARESTHESIA; PRIORITY JOURNAL; SPINAL ANESTHESIA; SPINE SURGERY; SUBARACHNOID SPACE;

AGED; ANESTHESIA, SPINAL; ANESTHETICS, LOCAL; FEMALE; HUMANS; INJECTIONS, SPINAL; MALE; MIDDLE AGED; PARESTHESIA; PROSPECTIVE STUDIES; SPINAL NERVE ROOTS; SUBARACHNOID SPACE;

EID: 60749087159     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.2097/AAP.0b013e3181933eed     Document Type: Article

References (9)

1. Auroy Y, Benhamou D, Bargues L, Ecoffey C, Falissard B, Mercier FJ, Bouaziz H, Samii K. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology. 2002;97:1274-1280.
2. Horlocker TT, McGregor DG, Matsushige DK, Schroeder DR, Besse JA. A retrospective review of 4767 consecutive spinal anesthetics: central nervous system complications. Perioperative Outcomes Group. Anesth Analg. 1997;84:578-584.
3. Tetzlaff JE, Dilger JA, Wu C, Smith MP, Bell G. Influence of lumbar spine pathology on the incidence of paresthesia during spinal anesthesia. Reg Anesth Pain Med. 1998;23:560-563.
4. Lund P. Principles and Practice of Spinal Anesthesia. Springfield: Charles C. Thomas; 1971.
5. Mulroy M. Regional Anesthesia: An Illustrated Procedural Guide. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2002.
6. Knowles PR, Randall NP, Lockhart AS. Vascular trauma associated with routine spinal anaesthesia. Anaesthesia. 1999;54:647-650.
7. Wall EJ, Cohen MS, Massie JB, Rydevik B, Garfin SR. Cauda equina anatomy. I: Intrathecal nerve root organization. Spine. 1990;15:1244-1247.
8. Eypasch E, Lefering R, Kum CK, Troidl H. Probability of adverse events that have not yet occurred: a statistical reminder. BMJ. 1995;311:619-620.
9. Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology. 1999;90:1062-1069.