Spinal cord anesthesia with meperidine in a patient with hypersensitivity to local anesthesia

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Abstract

Introduction:

Meperidine (or pethidine) is a synthetic opioid with well-known local anesthetic properties. It has been safely used intrathecally in general, urological and obstetric surgery. This can be used in spinal anesthesia in patients with hypersensitivity to local anesthetics.

Objective:

To describe anesthetic management of a patient with hypersensitivity to local anesthetics with the use of intrathecal meperidine.

Case presentation:

The case is presented of a 54-year-old female patient with a previous history of hypersensitivity to local anesthetics, scheduled for anterior colporrhaphy, who is performed regional technique, administering intrathecal meperidine. For post-operative analgesia, diclofenac sodium was administered intravenously in a single dose of 75 mg before the incision.

Conclusions:

The described technique allowed to achieve adequate sensory and motor block, stability of intraoperative vital signs, and optimal recovery in the immediate postoperative period. It is another alternative in the management of patients with hypersensitivity to local anesthetics.

Keywords:   spinal cord anesthesia; meperidine; sensitive block.

 

 

 

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Author Biography

Alexis Ramón Pineda González, Hospital Universitario Jose Luis Miranda

Especialista de I Grado en Anestesiología y Reanimación.

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Published

2019-08-26

How to Cite

1.
Pineda González AR. Spinal cord anesthesia with meperidine in a patient with hypersensitivity to local anesthesia. Rev Cub Anest Rean [Internet]. 2019 Aug. 26 [cited 2024 Dec. 19];19(2). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/587

Issue

Vol. 19 No. 2 (2020): May - August

Section

Case reports

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