Spinal Introducer Needle Breakage During Spinal Anesthesia for Cesarean Section: A Case Report

Area of Science:

• Anesthesiology
• Obstetrics
• Surgical Complications

Background:

• Spinal and epidural anesthesia are common for cesarean sections.
• Neuraxial anesthesia complications, like needle breakage, are increasingly reported.
• Factors like pencil-point needles and higher BMI may increase risk.

Observation:

• A case of a retained spinal introducer needle after cesarean section is presented.
• The needle was discovered post-procedure in the patient's back.
• This highlights a rare but significant complication of neuraxial anesthesia.

Findings:

• The exact incidence of needle breakage during obstetric neuraxial anesthesia is not well-established.
• Smaller diameter pencil-point needles and rising maternal BMI are potential contributing factors.
• Retained surgical items, including needles, pose risks to patient safety.

Implications:

• Emphasizes the need for meticulous technique and awareness during neuraxial procedures.
• Suggests potential for improved needle design or procedural modifications.
• Underscores the importance of post-operative vigilance for retained surgical items.