Procaine: Cauda equina syndrome: case report

Reactions Weekly | August 2, 2008| | Copyright

A 52-year-old woman developed cauda equina syndrome following spinal anaesthesia with procaine for elective knee surgery.

The woman was placed in a sitting position and received IV midazolam and fentanyl, followed by a 1.5mL subarachnoid injection of 10% procaine into the L3/4 interspace after lidocaine infiltration; total anaesthesia time was 35 min. After 30 minutes in post-anaesthesia care and an unknown time in the surgery unit, she was discharged without neurological deficit of note; however, she did not undergo a detailed neurologic examination. At home, she was unable to urinate ...

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