Intravenous anesthesia


Anesthesia and Pain Medicine. 2005 Sept. 9(3): 149-152
ⓒ Korean Society for Intravenous Anesthesia
Carpal Spasm Due to Hyperventilation Syndrome after Spinal Anesthesia -A case report-
Mi Ae Han, M.D., and Kyoung Ho Ha, M.D.
Department of Anesthesiology and Pain Medicine, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea

Spinal anesthesia is often used for pubovaginal sling operation for urinary incontinence. Although neurologic injury from spinal anesthesia is extremely rare, suspicion arose after encountering a patient who developed progressing upper extremity numbness and carpal spasm after neuroaxial blockade. After physical examination, we could not find any evidence of neurologic injury. But laboratory data revealed slightly decreased serum ionized calcium level. After intravenous injection of 5 ml 10% cacium gluconate, carpal spasm was dramatically disappeared. We report a case of hyperventilation syndrome induced carpal spasm which was managed sucessfully.
Key words : Carpal spasm, hyperventilaton syndrome.
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