Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia

  • William F. Amaya-Zúñiga a. Department of Anesthesia and Perioperative Medicine, Hospital Universitario Fundación Santa Fe de Bogotá. Bogotá, Colombia. b. Universidad de los Andes. Bogotá, Colombia. c. Universidad El Bosque. Bogotá, Colombia. https://orcid.org/0000-0003-0184-1752
  • Viviana Mojica-Manrique Department of Anesthesia and Perioperative Medicine, Hospital Universitario Fundación Santa Fe de Bogotá. Bogotá, Colombia. https://orcid.org/0000-0001-9646-1140
  • Iván Santos-Gutiérrez a. Department of Plastic Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia. b. Colombian Society of Plastic Surgery. Bogotá, Colombia. c. International Society Aesthetic Plastic. Bogotá, Colombia. https://orcid.org/0000-0002-7220-1050
  • Julia Alfonso-Jaimes a. Department of Plastic Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia. b. Colombian Society of Plastic Surgery. Bogotá, Colombia. https://orcid.org/0000-0001-7237-0834
Keywords: Silicone injection, Silicone migration, Regional anesthesia, Patient safety, Anesthesia

Abstract

The illegal use of liquid silicone products or biopolymers in gluteal augmentation procedures is giving rise to multiple complications, with a significant negative health impact, both in the short and long-term. The migration of polymers to the sacral and lumbar region represents a major limitation to conducting neuraxial anesthesia procedures. This silicon migration is unpredictable through the superficial tissue as is widely described in the literature. Caudal, spinal and epidural anesthesia may cross the silicone in the fascia and contaminate the neural axis with substances that are highly capable of causing inflammation, edema and tissue necrosis. In order to improve the safety of neuraxial anesthetic procedures and avoid the potential risk of dissemination and contamination of the neural axis, this complication must be ruled out, or be considered an emerging contraindication for these anesthetic procedures.

References

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How to Cite
1.
Amaya-Zúñiga WF, Mojica-Manrique V, Santos-Gutiérrez I, Alfonso-Jaimes J. Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia . Colomb. J. Anesthesiol. [Internet]. 2021 Mar. 25 [cited 2024 Mar. 29];49(4). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/977

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Published
2021-03-25
How to Cite
1.
Amaya-Zúñiga WF, Mojica-Manrique V, Santos-Gutiérrez I, Alfonso-Jaimes J. Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia . Colomb. J. Anesthesiol. [Internet]. 2021 Mar. 25 [cited 2024 Mar. 29];49(4). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/977
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