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A Catastrophic Cure: A Case report of spinal hematoma after vaginal hysterectomy under subarachnoid block / Arshad Chaudhry, Fatima E. [author]

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2024Description: (in folder) with flash drive (soft copy)Content type:
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Media type:
  • unmediated
Carrier type:
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Summary: ABSTRACT: This is a case of a 70-year old female with a history of a prolapsed uterus. After appropriate medical and surgical consultations, she underwent an unremarkable vaginal hysterctomy, anterior and posterior repair under subarachnoid block. However, five hours after the surgery, while at the ward, she suddenly became unresponsive. Her oxygen saturations dropped and she went into asystole. Cardiopulmonary resuscitation was done and return of spontaneous circulation was achieved after one ampule of epinephrine. With a primary consideration of Pulmonary embolism, anticoagulant therapy was started. She was stable enough to be extubated after two days and hence was able to verbalize that she had a " pins and needles" on her legs. A quick Neurologic exam revealed decreased sensorium and motor weakness on both her lower extremities. Diagnostic imaging revealed an intraspinal hematoma. She was deemed high risk by medical evaluation. After a multidisciplinary conference, the family decided to bring the patient home against medical advice. Keywords: spinal hematoma, adverse effect, epidural hematoma, spinal anesthesia, anticoagulant.
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Research Far Eastern University - Nicanor Reyes Medical Foundation ANES 2024 0001 (Browse shelf(Opens below)) Available R000768

Includes bibliographical references.

ABSTRACT: This is a case of a 70-year old female with a history of a prolapsed uterus. After appropriate medical and surgical consultations, she underwent an unremarkable vaginal hysterctomy, anterior and posterior repair under subarachnoid block. However, five hours after the surgery, while at the ward, she suddenly became unresponsive. Her oxygen saturations dropped and she went into asystole. Cardiopulmonary resuscitation was done and return of spontaneous circulation was achieved after one ampule of epinephrine. With a primary consideration of Pulmonary embolism, anticoagulant therapy was started. She was stable enough to be extubated after two days and hence was able to verbalize that she had a " pins and needles" on her legs. A quick Neurologic exam revealed decreased sensorium and motor weakness on both her lower extremities. Diagnostic imaging revealed an intraspinal hematoma. She was deemed high risk by medical evaluation. After a multidisciplinary conference, the family decided to bring the patient home against medical advice. Keywords: spinal hematoma, adverse effect, epidural hematoma, spinal anesthesia, anticoagulant.

Research - Department of Anesthesiology

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