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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Related Experiment Video

Updated: May 16, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Necrotizing fasciitis after spinal anesthesia.

S Kundra1, R M Singh, A Grewal

  • 1Department of Anesthesia, Dayanand Medical College and Hospital, Ludhiana, India. shaveta.sandeep@gmail.com

Acta Anaesthesiologica Scandinavica
|December 18, 2012
PubMed
Summary
This summary is machine-generated.

Necrotizing fasciitis, a severe skin infection, can rarely occur after spinal anesthesia for Cesarean delivery. This case highlights the critical importance of aseptic techniques and avoiding reused anesthetic vials to prevent such rare complications.

Related Experiment Videos

Last Updated: May 16, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Area of Science:

  • Anesthesiology
  • Infectious Diseases
  • Dermatology

Background:

  • Regional anesthesia, particularly spinal anesthesia, is a preferred method for Cesarean delivery.
  • Maintaining strict aseptic precautions during regional anesthesia administration is crucial to prevent infectious complications.
  • While rare, infectious complications like abscesses and meningitis can arise from regional anesthesia.

Observation:

  • A 26-year-old postpartum female developed skin necrosis on her back five days after receiving spinal anesthesia for Cesarean delivery.
  • The patient presented with drowsiness, dehydration, and fever, with skin necrosis extending from below the scapula to the gluteal region.
  • Initial management included debridement, intravenous antibiotics, and subsequent skin grafting, leading to complete recovery.

Findings:

  • This case represents the first reported instance of necrotizing fasciitis following spinal anesthesia.
  • Potential sources of infection were evaluated, including contaminated local anesthetic solutions, aseptic non-adherence, and patient/anesthesiologist flora.
  • Infection from a reused multidose vial of local anesthetic was identified as the most probable cause.

Implications:

  • The findings underscore the critical need for stringent aseptic protocols in regional anesthesia.
  • Avoiding the reuse of multidose anesthetic vials is paramount to prevent transmission of infectious agents.
  • Early recognition and prompt intervention are vital for managing necrotizing fasciitis, potentially saving lives.