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British Journal of Anaesthesia, Vol 76, Issue 3 467-469, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Reducing the potential morbidity of an unintentional spinal anaesthetic by aspirating cerebrospinal fluid

P. Southorn, GMS. Vasdev, R. C. Chantigian and G. M. Lawson
Department of Anesthesiology, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA; Department of Laboratory Medicine, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA

We describe two cases where we attempted to reduce the adverse effects of inadvertent spinal anaesthesia by aspirating local anaesthetic- contaminated cerebrospinal fluid (CSF). Analysis of this CSF for its local anaesthetic concentration revealed that we were able to recover 51% and 39% of the administered lignocaine. It is suggested that such aspiration may be a helpful additional measure to the supportive management of this complication.
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