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  • Title: [Total spinal paralysis as complication of brachial plexus block].
    Author: Strelets BM, Tsvetkov VA, Evtiukhov AN.
    Journal: Anesteziol Reanimatol; 1993; (3):65-6. PubMed ID: 7943912.
    Abstract:
    Local anesthesia of the brachial plexus by interscalenic approach was a cause of total spinal blockade due to the administration of a local anesthetic into subarachnoid space. To prevent this it is necessary to administer a test dose of a local anesthetic with pre-aspiration of the liquor with a syringe. Intensive care procedures should be aimed at maintenance of adequate hemodynamics and gas exchange and to liquidation of circulating blood volume deficiency.
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