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Broken needle during spinal anesthesia: an avoidable complication.

Rawéléguinbasba Armel Flavien Kaboré1, Ibrahim Alain Traore2, Salah Idriss Séif Traore3

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Summary
This summary is machine-generated.

A rare complication of spinal anesthesia (SA) occurred when a needle broke during an emergent cesarean section in a morbidly obese patient. Difficult needle insertion and improper technique contributed to the incident.

Keywords:
cesarean sectionneedle breakingobesityspinal anesthesia

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Area of Science:

  • Anesthesiology
  • Obstetrics
  • Surgical Complications

Background:

  • Spinal anesthesia (SA) is a common procedure for cesarean sections.
  • Needle breakage during SA is an exceptionally rare complication.
  • Morbid obesity presents unique challenges for neuraxial anesthesia.

Observation:

  • A case of a broken spinal needle is reported in a morbidly obese pregnant woman undergoing SA for an emergent cesarean section.
  • Multiple needle insertion attempts were required due to difficulty in identifying anatomical landmarks.
  • Inadequate use of the introducer needle was noted as a contributing factor.

Findings:

  • The complication arose from a combination of factors including patient obesity, difficult lumbar spine identification, and procedural technique.
  • Predictive factors for difficult neuraxial anesthesia were present but possibly not fully recognized.
  • The specific circumstances highlight potential risks associated with SA in challenging patient populations.

Implications:

  • Recognizing predictive factors for difficult neuraxial anesthesia is crucial for patient safety.
  • Utilizing ultrasound guidance may improve needle placement success and reduce complications in obese patients.
  • Adherence to proper technique, including appropriate introducer use, is essential to prevent needle breakage during SA.