Spinal anesthesia and peripheral block for the cocaine abusing patient. Is it safe? – A Case Report
Luiz Eduardo Imbelloni1, Ana Carolina Vilela2, Marcelo de Araujo Pistarino3, Eduardo Piccinini Viana4, Jaime Weslei Sakamoto5, André Augusto de Araujo6, Fernando Augusto Reginatto Roberto7
Journal Title:Advance Research Journal of Multidisciplinary Discoveries
The increasing use and abuse of cocaine in Brazil is an issue of great national and international concern. As anesthesiologists taking care of patients with cocaine abuse we have to be aware of the implications of substance abuse on anesthetic management. We report two cases of men with chronic cocaine use, 31 hours and 10 hours after nasal cocaine use, submitted to spinal anesthesia for lower limb orthopedic surgery and peripheral nerve block for postoperative analgesia without any complications during the procedure, PACU and the ward. Both patients were discharged 24 hours after the procedure without pain, after anterior lumbar plexus block and the lateral combined femoral-sciatic nerve block.
KEYWORDS : Addiction; Cocaine; Orthopedic Trauma; Regional intrathecal anesthesia; Regional peripheral lumbar plexus block.