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CASE REPORT
Year : 2022  |  Volume : 15  |  Issue : 4  |  Page : 224-226

Successful subarachnoid block following a dry tap in a geriatric patient


Department of Anaesthesiology, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
Rohini V Bhat Pai
Department of Anaesthesiology, Goa Medical College, Bambolim
India
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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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