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Meningitis post-spinal anaesthesia: A report of two cases

Author(s): Vidhu Bhatnagar*, SN Kulkarni, Ashish Chauhan and JK Singh

Meningitis post-administration of a central neuraxial blockade is although a rare complication but a potentially fatal one. Breach in aseptic precautions leading to introduction of bacteria is considered the most probable cause and haematogenous spread due to microscopic vessel injury in symptomatic or asymptomatic bacteremia is also one of the etiologies. Mostly, a single anesthesiologist may be seen with such cluster of cases. Sometimes defective drugs or faulty equipment used for the procedure may also lead to this complication. We report two cases where spinal anesthesia was performed by different anesthesiologist’s in different operation theatres of the same hospital, which landed up with the complication of meningitis post procedure despite maximum sterile barrier maintenance during both the cases.

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