000			01976nam a22002417a 4500
001			R000768
003			PILC
005			20240720153334.0
008			240716b |||||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
245			_aA Catastrophic Cure: A Case report of spinal hematoma after vaginal hysterectomy under subarachnoid block / _cArshad Chaudhry, Fatima E. [author]
260			_aFairview, Quezon City: _bDepartment of Anesthesiology, FEU-NRMF, _c2024
300			_c(in folder) _ewith flash drive (soft copy)
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes bibliographical references.
520			_aABSTRACT: 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.
521			_aRESDA
700			_aArshad Chaudhry, Fatima E. _eauthor
942			_2lcc _cRE
999			_c12724 _d12724