Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section

Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section

Neuraxial anesthesia has become the preferred method of anesthesia for nonemergent cesarean delivery and cases where regional anesthesia is not contraindicated. Multiple cases of broken spinal and epidural needles have been reported in the literature over the last several years; however, the specifi...

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Main Authors: Saurin J. Shah, Kristen Vanderhoef, Michael Ibrahim
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2020/8880464
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spelling doaj-6e4bdcc67c864e46bdc529cbf90e36922020-11-25T03:54:05ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/88804648880464Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean SectionSaurin J. Shah0Kristen Vanderhoef1Michael Ibrahim2Department of Anesthesiology, University of Florida College of Medicine Jacksonville, Jacksonville, FL, USADepartment of Anesthesiology, University of Florida College of Medicine Jacksonville, Jacksonville, FL, USADepartment of Anesthesiology, University of Florida College of Medicine Jacksonville, Jacksonville, FL, USANeuraxial anesthesia has become the preferred method of anesthesia for nonemergent cesarean delivery and cases where regional anesthesia is not contraindicated. Multiple cases of broken spinal and epidural needles have been reported in the literature over the last several years; however, the specific incidence of needle breakage is still unknown. Less reliance on general anesthesia and increasing parturient body mass index (BMI) has likely contributed to more reports of broken needles during regional anesthesia for obstetric surgery. We describe a case of a broken spinal needle after attempted spinal anesthetic placement for cesarean delivery in a morbidly obese parturient, subsequent postoperative management, and current treatment recommendations.http://dx.doi.org/10.1155/2020/8880464
collection DOAJ
language English
format Article
sources DOAJ
author Saurin J. Shah
Kristen Vanderhoef
Michael Ibrahim
spellingShingle Saurin J. Shah
Kristen Vanderhoef
Michael Ibrahim
Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
Case Reports in Anesthesiology
author_facet Saurin J. Shah
Kristen Vanderhoef
Michael Ibrahim
author_sort Saurin J. Shah
title Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
title_short Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
title_full Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
title_fullStr Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
title_full_unstemmed Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section
title_sort broken spinal needle in a morbidly obese parturient presenting for urgent cesarean section
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2020-01-01
description Neuraxial anesthesia has become the preferred method of anesthesia for nonemergent cesarean delivery and cases where regional anesthesia is not contraindicated. Multiple cases of broken spinal and epidural needles have been reported in the literature over the last several years; however, the specific incidence of needle breakage is still unknown. Less reliance on general anesthesia and increasing parturient body mass index (BMI) has likely contributed to more reports of broken needles during regional anesthesia for obstetric surgery. We describe a case of a broken spinal needle after attempted spinal anesthetic placement for cesarean delivery in a morbidly obese parturient, subsequent postoperative management, and current treatment recommendations.
url http://dx.doi.org/10.1155/2020/8880464
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AT kristenvanderhoef brokenspinalneedleinamorbidlyobeseparturientpresentingforurgentcesareansection
AT michaelibrahim brokenspinalneedleinamorbidlyobeseparturientpresentingforurgentcesareansection
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