Total Spinal Anaesthesia after Interscalene Brachial Plexus Blockade- A Case Report

Abstract

Brachial plexus blockade has been used for a variety of procedures on the hand, upper extremities, and shoulder. After giving an effective brachial plexus block, total spinal anaesthesia may develop, perhaps due to epidural or prevertebral diffusion of anaesthetic drugs. When administering regional nerve blocks, the findings should underline the significance of cautious technique, but more significantly, the requirement for good patient monitoring and fast availability of resuscitation equipment. This case report was about a 45-year-old woman who underwent an external fixator application to a forearm injury under an interscalene nerve block. Subsequently, she developed haemodynamic deterioration and respiratory arrest. She was manually ventilated with positive pressure and was administered crystalloids intravenously with complete recovery of neurological function. This is being reported as total spinal anaesthesia, an extremely rare complication of the interscalene brachial plexus block.