In summary, we have reported a patient who developed symptoms compatible with TNS after spinal anesthesia with a clinically recommended dose of tetracaine. The combination of the lithotomy position and epidural mepivacaine prior to spinal tetracaine may have had a synergistic effect on the symptoms. Careful consideration of the total local anesthetic dose at relatively short intervals may be needed during combined spinal and epidural anesthesia.
All Science Journal Classification (ASJC) codes
- Anesthesiology and Pain Medicine