We present a case of accidental injection of tranexamic acid during spinal anesthesia for an elective cesarean delivery. Immediately following intrathecal injection of 2mL of solution, the patient complained of severe back pain, followed by muscle spasm and tetany. As there was no evidence of spinal block, the medications given were checked and a 'used' ampoule of tranexamic acid was found on t...

This report discusses the issues involved in the diagnosis and management of tetanus. A 29-year-old female with a history of illicit drug use presented with progressive tetany secondary to an abscess on her forearm from subcutaneous injections. She was managed in the intensive care unit for 29 days and was discharged to the ward. The main issue in her management was control of tetanic episodes ...

Male, 61 years old, 84 kg and using simvastatin in order to control hypercholesterolemia and oxybutynin to control overactive bladder. Preoperative examinations were normal. He was scheduled to varicectomy of the lower limbs on outpatient basis. Spinal anesthesia (L3/L4 interspace) with bupivacaine, 12.5 mg plus intrathecal fentanyl, 15 mcg was administered in addition to an intravenous sedatio...

Intrathecal meperidine administration can provide surgical anaesthesia and postoperative analgesia for about two to six hours. We have observed two cases of respiratory depression associated with meperidine spinal anaesthesia. An 81-yr-old woman received 50 mg intrathecal meperidine for inguinal hernia repair. Supplemental oxygen was administered at 3 L.min-1 by nasal prongs. About 40 min later...

Před 10 lety byly v Pain Medicine publikovány naše zkušenosti s intratékální aplikací midazolamu u pacientů chronickou bolestí zad. Tento přehledový článek přináší kritické zhodnocení výsledků naší práce a dalšího vývoje této metody odstupem desetiletí.