척추경막외병용마취를 위한 경막외마취 중 발생한 기뇌증

Pneumocephalus Developed during Epidural Anesthesia for Combined Spinal-Epidural Anesthesia

The superiority of air versus saline for identifying the epidural space remains unestablished. Epidural anesthesia using a loss of resistance technique (LORT) with air is associated with increasing complications of dural puncture-induced headaches and neurological and hemodynamic changes. Here, we described a case of pneumocephalus with a large amount of air that was accompanied by severe headache and nuchal and chest pain occurring after epidural block using LORT with air for combined spinal-epidural anesthesia.

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