Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose?
Myoclonic jerks, while often benign, can indicate underlying issues such as inadvertent intrathecal or intravascular injection of the local anesthetic. In preterm infants, whose physiological responses are often more unpredictable and sensitive, the risk of complications from regional anesthesia may...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Amrita Journal of Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/AMJM.AMJM_43_24 |
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| _version_ | 1841536770726952960 |
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| author | Lakshmi Kumar Neethu Padmanabhan Dimple Elina Thomas Pramod R. Pillai |
| author_facet | Lakshmi Kumar Neethu Padmanabhan Dimple Elina Thomas Pramod R. Pillai |
| author_sort | Lakshmi Kumar |
| collection | DOAJ |
| description | Myoclonic jerks, while often benign, can indicate underlying issues such as inadvertent intrathecal or intravascular injection of the local anesthetic. In preterm infants, whose physiological responses are often more unpredictable and sensitive, the risk of complications from regional anesthesia may be heightened. We present the management of a possible local anesthetic systemic toxicity in an ex-preterm infant scheduled for an elective left inguinal herniotomy. |
| format | Article |
| id | doaj-art-11607ae979404aefa4276fe16201743a |
| institution | Kabale University |
| issn | 0975-9662 2772-2805 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Amrita Journal of Medicine |
| spelling | doaj-art-11607ae979404aefa4276fe16201743a2025-01-14T11:18:32ZengWolters Kluwer Medknow PublicationsAmrita Journal of Medicine0975-96622772-28052024-12-0120417918110.4103/AMJM.AMJM_43_24Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose?Lakshmi KumarNeethu PadmanabhanDimple Elina ThomasPramod R. PillaiMyoclonic jerks, while often benign, can indicate underlying issues such as inadvertent intrathecal or intravascular injection of the local anesthetic. In preterm infants, whose physiological responses are often more unpredictable and sensitive, the risk of complications from regional anesthesia may be heightened. We present the management of a possible local anesthetic systemic toxicity in an ex-preterm infant scheduled for an elective left inguinal herniotomy.https://doi.org/10.4103/AMJM.AMJM_43_24local anestheticmyoclonic jerkspreterm infants |
| spellingShingle | Lakshmi Kumar Neethu Padmanabhan Dimple Elina Thomas Pramod R. Pillai Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? Amrita Journal of Medicine local anesthetic myoclonic jerks preterm infants |
| title | Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? |
| title_full | Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? |
| title_fullStr | Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? |
| title_full_unstemmed | Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? |
| title_short | Myoclonic Jerks in an Ex-Preterm Undergoing Hernia Surgery Under Combined Spinal Caudal Block: Is It Time to Revisit the Test Dose? |
| title_sort | myoclonic jerks in an ex preterm undergoing hernia surgery under combined spinal caudal block is it time to revisit the test dose |
| topic | local anesthetic myoclonic jerks preterm infants |
| url | https://doi.org/10.4103/AMJM.AMJM_43_24 |
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