Bronchospasm triggered by spinal anaesthesia. Case report and review of the literature

  • Ana María Rodilla-Fiz Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
  • Marta Gómez-Garrido Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
  • Fernando Martínez-López Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
  • Jose Ángel Monsalve-Naharro Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
  • María Girón-La Casa Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
  • Alfonso López-Pérez Anaesthesia, Resuscitation and Pain Treatment Service, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
Keywords: Bronchial spasm, Anesthesia general, Anesthesia spinal, Anesthesia, Peer review

Abstract

Bronchospasm is a clinical condition that can occur unexpectedly during general anaesthesia, but is extremely rare after spinal anaesthesia. The following is a case presentation of a patient who developed bronchospasm after undergoing spinal anaesthesia not attributable to other causes, and that adds another case to the limited literature. Most publications allude to asthmatic patients, and this is probably the first description about a patient with emphysema-type COPD. Our case shows that although spinal anaesthesia is considered safe for patients with respiratory disease, specifically in asthmatic patients there is a possibility of bronchospasm in susceptible patients.

References

1. Capelozzi M, Arantes FM, Paiva PS, Capelozzi VL, Martins MA. Spinal anesthesia increases pulmonary responsiveness to methacholine in guinea pigs. Anesth Analg. 1998;87:874-8.
2. Ben-David B, Rawa R. Complications of neuraxial blockade. Anesthesiol Clin North America. 2002;20:669-93.
3. Zachariah M, Korula G, Nagamani S. Bronchospasm under spinal anaesthesia for transurethral resection of prostate. Anaesth Intensive Care. 1992;20:363-5.
4. Yamakage M, Iwasaki S, Namiki A. Guideline-oriented perioperative management of patients with bronchial asthma and chronic obstructive pulmonary disease. J Anesth. 2008;22:412-28.
5. Mallampati SR. Bronchospasm during spinal anesthesia. Anesth Analg. 1981;60:839-40.
6. McGough EK, Cohen JA. Unexpected bronchospasm during spinal anesthesia. J Clin Anesth. 1990;2:35-6.
7. Prabhakar H, Rath GP. Intraoperative bronchospasm under spinal analgesia: a case report. Middle East J Anaesthesiol. 2007;19:225-9.
How to Cite
1.
Rodilla-Fiz AM, Gómez-Garrido M, Martínez-López F, Monsalve-Naharro J Ángel, Girón-La Casa M, López-Pérez A. Bronchospasm triggered by spinal anaesthesia. Case report and review of the literature. Colomb. J. Anesthesiol. [Internet]. 2016 Apr. 1 [cited 2024 Mar. 28];44(2):179–181. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/492

Downloads

Download data is not yet available.
Published
2016-04-01
How to Cite
1.
Rodilla-Fiz AM, Gómez-Garrido M, Martínez-López F, Monsalve-Naharro J Ángel, Girón-La Casa M, López-Pérez A. Bronchospasm triggered by spinal anaesthesia. Case report and review of the literature. Colomb. J. Anesthesiol. [Internet]. 2016 Apr. 1 [cited 2024 Mar. 28];44(2):179–181. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/492
Section
Case Report / Case Series

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code