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

Contributor(s):

Arshad Chaudhry, Fatima E [author]

Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2024Description: (in folder) with flash drive (soft copy)Content type:

text

Media type:

unmediated

Carrier type:

volume

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.

Average rating: 0.0 (0 votes)

Holdings
Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation	ANES 2024 0001 (Browse shelf(Opens below))	Available		R000768

Browsing Far Eastern University - Nicanor Reyes Medical Foundation shelves Close shelf browser (Hides shelf browser)

Previous	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	Next
Previous	ANES 2021 0003 85 year old who underwent modified radical mastectomy under peripheral nerve block with intravenous sedation /	ANES 2021 0004 A Case report on difficult airway management by videolaryngoscopy with combined use of endotracheal tube 7.5mm with endotracheal tube introducer (elastic bougie) integrated unto the curve blade's channel /	ANES 2022 0001 Post-traumatic stress, anxiety, and depression among COVID-19 recovered residents-in-training in tertiary hospitals in Metro Manila : a cross-sectional study /	ANES 2024 0001 A Catastrophic Cure: A Case report of spinal hematoma after vaginal hysterectomy under subarachnoid block /	ANES 2024 0002 Post-operative foot drop after extra fascial hysterectomy under combined epidural and general anesthesia: a case report / Asuncion, Reynaldo Raul N. [author]	ANES 2024 0004 The seemingly impossible: A case report on using laryngeal mask airway in total thyroidectomy / Katreena Camille C. Aquino	ANES 2024 0004 When is enough, enough? A case report of multiple failed spinal anesthesia attempts during an emergency cesarean section / [author]: Faye Anne Dorothy A. Barnachea	Next

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

There are no comments on this title.

to post a comment.