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Indian Journal of Anesthesia and Analgesia 12(1):p 35-38, Jan- March 2025. | DOI: 10.21088/ijaa.2349.8471.12125.6
Case Report
A Case Report of Resistance to Intrathecal Anaesthesia following Scorpion Bite
Dinesh Kumar T., Suresh Kumar N., Huchappa K.V.
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(1):p 35-38, Jan- March 2025. | DOI: 10.21088/ijaa.2349.8471.12125.6
How Cite This Article:
Kumar TD, Kumar NS, Huchappa KV. A case report of resistance to intrathecal anaesthesia following scorpion bite. Ind J Anesth Analg. 2025;12(1):35-38.Timeline
Received : October 11, 2024
Accepted : January 29, 2025
Published : March 15, 2025
Abstract
Introduction: Spinal anaesthesia is a widely used anaesthetic technique. But sometimes the failure of spinal anaesthesia occur because of reasons like obesity, poor positioning, spinal deformity like kyphosis, misplaced injection and local anaesthetic resistance. Resistance to local anaesthetic is one of the reason. The mechanism of action of local anaesthetics is through sodium channels and mutation in the sodium channel could be one of the possible reasons for the resistance. Case Report: A 52-year-old man who has been experiencing excruciating stomach ache for three days. After receiving a diagnosis of acute appendicitis, he was scheduled for an open appendectomy while under spinal anesthesia. His laboratory results and general physical examination during the pre-anesthesia evaluation were normal, with an ASA grade I. A 25G Quincke’s spinal needle was used to do a lumbar puncture at the L3-L4 area while the patient was seated and under aseptic precautions. The subarachnoid area was injected with 30 mcg of buprenorphine and 0.5% hyperbaric bupivacaine. The patient was then placed in a supine position. General anesthesia was administered for the procedure after two successive attempts at spinal anesthesia failed, as demonstrated by the pinprick method or by motor block, as demonstrated by lower limb movements. The surgery and immediate post-operative period was uneventful. The patient described a scorpion bite that occurred a year ago when asked about his medical history. Conclusion: Scorpion stings can lead to resistance to local anesthetics due to the venom’s effect on sodium channels, potentially causing failure or delay in spinal anesthesia. Awareness of a patient’s history of scorpion envenomation is crucial for effective anesthetic management.
References
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Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Kumar TD, Kumar NS, Huchappa KV. A case report of resistance to intrathecal anaesthesia following scorpion bite. Ind J Anesth Analg. 2025;12(1):35-38.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| October 11, 2024 | January 29, 2025 | March 15, 2025 |
DOI: 10.21088/ijaa.2349.8471.12125.6
Keywords
Spinal anaesthesiaScorpion biteLocal anesthesiaSearch for Similar Articles
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Timeline
| Received | October 11, 2024 |
| Accepted | January 29, 2025 |
| Published | March 15, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
