Clin Case Rep Int | Volume 7, Issue 1 | Case Report | Open Access

Failed Spinal Anesthesia Owing to Inadvertent Dural Puncture: A Case Report

Harmilan K^1* and Mohit P²

¹Department of Chemistry, Punjab Agricultural University, India
²Department of Zoology, Punjab Agricultural University, India

^*Correspondance to: Harmilan Kaur 

Abstract

We describe a case of insufficient spinal anesthesia potentially owing to Cerebrospinal Fluid (CSF) leaking into the epidural area induced by Accidental Dural Puncture (ADP). A caesarean section was performed on a lady aged 28 who was carrying twins. She had been scheduled for a hybrid SpinalEpidural Procedure (CSEA). After several ADP injections at the T12/L1 level, spinal anesthesia with hyperbaric bupivacaine 9 mg and fentanyl 15 g was delivered via the L3/4 interspace; however, analgesia only reached the T12 level. If bupivacaine leaked into the epidural space along with the CSF through the damaged dura, it would be responsible for the lack of analgesia. Under general anesthesia, the scheduled procedure went off without a hitch. If there is significant CSF leakage during spinal anesthesia in pregnant women following ADP, the anesthesia level may not grow as planned.

Keywords:

Accidental dural puncture; Spinal anesthesia; Combined spinal-epidural anesthesia; Cerebrospinal fluid; Failed spinal anesthesia

Citation:

Harmilan K, Mohit P. Failed Spinal Anesthesia Owing to Inadvertent Dural Puncture: A Case Report. Clin Case Rep Int. 2023; 7: 1475..