| CASE REPORT |
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| Year : 2022 | Volume
: 15
| Issue : 4 | Page : 224-226 |
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Successful subarachnoid block following a dry tap in a geriatric patient
Chanise Monteiro Pereira Carvalho, Ashwell Savio Correia, Rohini V Bhat Pai
Department of Anaesthesiology, Goa Medical College, Bambolim, Goa, India
Correspondence Address:
Rohini V Bhat Pai
Department of Anaesthesiology, Goa Medical College, Bambolim
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/hmj.hmj_42_22
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Rationale: Dry tap' is the absence of cerebrospinal fluid (CSF) despite lumbar puncture needle placement in the thecal sac. Patient Concern: it is a troublesome condition and poses significant challenges. Diagnosis: An experienced anaesthesiologist develops the ability to recognise the needle advancing through the ligaments culminating in a subtle 'pop' or 'give way' to ultimately reach the subarachnoid space, and the needle position is confirmed by a free flow of clear CSF. Intervention: subarachnoid block. Outcomes: successful subarachnoid block following a dry tap in a geriatric patient. Lessons: Spinal anaesthesia can be successful despite a dry tap in experienced hands and may be attempted before resorting to alternative techniques.
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