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Repeated spinal anesthesia in a tetraparetic patient with Guillain-Barré syndrome
Marius Wipfli1, Marcel Arnold2, Martin Luginbühl1
1Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
Abstract:
A 78 year old man with tetraparesis, reduced forced vital capacity, and neurogenic bladder dysfunction due to Guillain-Barré syndrome was admitted for elective transurethral prostate resection and percutaneous lithotripsy of a bladder stone. On the sixth postoperative day, he was readmitted for emergency evacuation of a clot in the bladder. Both operations were performed with spinal anesthesia (hyperbaric bupivacaine + fentanyl) without neurologic sequelae.
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