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MULTIDISCIPLINARY PAIN ABSTRACTS: 3
. Anesthesia (3)
Publication year - 2004
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1530-7085.2004.4007_3.x
Subject(s) - medicine , pancreatitis , anesthesia , abdomen , spinal cord , diabetes mellitus , abdominal pain , surgery , chronic pain , physical therapy , psychiatry , endocrinology
This case report is based on a 43‐year‐old man with a history of alcohol‐induced chronic pancreatitis associated with insulin‐dependent diabetes with chronic abdominal pain. The patient developed persistent symptoms and signs suggestive of partial spinal cord infarction after an operation involving the use of the hyperlordotic position. This position involved extension at the waist, such that both the head and feet were below the level of the waist. It was employed to increase surgical access to the abdomen. However, where this position is adopted for a prolonged surgical procedure, existing risk factors for spinal cord ischemia should urge caution in the use of epidural analgesia.