Aseptic Meningitis after Spinal Anesthesia in an Infant

Easley, Blaine R.; George, Reggie; Connors, Dean F.; Tobias, Joseph D.

doi:10.1097/00000542-199907000-00040

Cited by 28 publications

(9 citation statements)

References 12 publications

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“…Finally, a senior specialist in pediatric anesthesia is available (24/7) on home call base. Furthermore, complications due to spinal anesthesia such as hematoma formation [27] or meningitis [28,29] have been described. Our data show that these complications are infrequent and might be avoidable by thorough technique and respecting exclusion criteria like coagulation disorders.…”

Section: Discussionmentioning

confidence: 99%

Spinal anesthesia for inguinal hernia repair in infants: a feasible and safe method even in emergency cases

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Spinal anesthesia for inguinal hernia repair in infants: a feasible and safe method even in emergency cases

et al. 2014

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“…Luz et al report a case of fatal bacterial meningitis after SA in a preterm infant, but cannot exactly determine if the infection is consequent or just coincident with the lumbar puncture [18]. Easley et al describe a case of aseptic meningitis after SA in a 2.5 month former premature but no causal relationship with SA is possibly proved [19].…”

Section: Discussionmentioning

confidence: 99%

Spinal Anesthesia in Infant with Ventriculoperitoneal Shunt: A Case Report of Inguinal Hernia Repair

Pedrazzi¹,

Montanari²,

Domenichelli³

2016

OJAnes

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We are describing a case of a female infant with ventriculoperitoneal shunt scheduled for inguinal hernia repair under spinal anesthesia. The child was a premature newborn who, in a recent past, underwent surgery in general anesthesia for retinopathy correction with subsequent difficult mechanical ventilation weaning. The benefit of spinal anesthesia in high-risk infant was described and the risks of spinal anesthesia in the presence of a ventricular shunt device-especially dural leakage and infections were briefly discussed.

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“…Since then, improvements in sterilization and antiseptic procedures and the distribution of disposable equipment have reduced the incidence of aseptic meningitis dramatically. In the last 3 years, only a single case of aseptic meningitis in a child has been reported [3]. For the cases of aseptic meningitis, previous reports [1,[4][5][6][7][8] incriminated cleansing agents and antiseptics that adhere to the syringes and puncture needles for spinal anesthesia and called the resultant condition chemical meningitis.…”

Section: Discussionmentioning

confidence: 99%

Two cases of chemical meningitis following spinal anesthesia

Nishimura

Tsubokawa

Kasama

et al. 2001

Journal of Anesthesia

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within the hospital. A puncture was made without any difficulty between L3 and L4 by using a disposable 25G needle for spinal anesthesia, and 2 ml of 0.3% dibucaine HCl was injected by using a 5-ml glass syringe that had been sterilized in the hospital. At the completion of the surgical procedure, the patient experienced mild nausea. In the ward 3 h after spinal anesthesia, she developed nausea, headache, a slight fever, and chills. Five hours later, her temperature returned to 37.6°C.A neurological examination was conducted the next day, and no abnormalities of the cranial nerves were recognized; however, headache, nuchal rigidity, and positive Kernig sign were noted. Hematological examination revealed an inflammatory state (white blood cell count, 9990 · mm Ϫ3 ; C-reactive protein, 2.6 mg·dl Ϫ1 ). The results of a lumbar puncture indicated the following: cerebrospinal fluid, slightly turbid; initial pressure, 175 mmH 2 0; cell counts 664/3 mm 3 (poly, 400 and mono, 264); protein, 152 mg·dl Ϫ1 ; sugar, 57 mg·dl Ϫ1 . The patient was treated with piperacillin sodium for 8 days under the diagnosis of meningitis. The cerebrospinal fluid culture yielded no bacterial growth. On the fifth day, she no longer suffered from neurological sequelae and was considered to have recovered completely. Case 2At 12 weeks and 6 days of pregnancy, a 24-year-old woman with cervical incompetence that had been caused by cervical conization was scheduled to undergo cervical cerclage under spinal anesthesia to prevent premature labor. Following handwashing and disinfection, the anesthetic procedure was performed in the same way as in Case 1 using the same drug and equipment set.Throughout the surgical procedure and after the patient was returned to the ward, no changes in vital signs were noted and she reported no subjective symptoms. However, nausea and vomiting developed 90 min and headache 2 h after spinal anesthesia. Twelve hours after

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Aseptic Meningitis after Spinal Anesthesia in an Infant

Cited by 28 publications

References 12 publications

Spinal anesthesia for inguinal hernia repair in infants: a feasible and safe method even in emergency cases

Spinal anesthesia for inguinal hernia repair in infants: a feasible and safe method even in emergency cases

Spinal Anesthesia in Infant with Ventriculoperitoneal Shunt: A Case Report of Inguinal Hernia Repair

Two cases of chemical meningitis following spinal anesthesia

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