A 22-year-old man was brought to the Emergency Department in the prone position, having been impaled in the right buttock with a large pitchfork. He was in excruciating pain and nauseated; attempts to move the patient or the pitchfork caused severe pain. Caudal blockade was carried out in the prone position, without moving the patient, and proved to be very efficacious. The pitchfork was then removed painlessly, allowing us to turn the patient supine. A conventional induction of general anaesthesia was then made possible.
LarsenJ.R.Emergency spinal anaesthesia in the prone position. Acta Anaesthesiol Scand1997; 41: 790–791.
2.
MaroofM., KhanR.M., SiddiqueM., TariqM.Hypobaric spinal anaesthesia with bupivacaine (0.1%) gives selective sensory block for ano-rectal surgery. Can J Anaesth1995; 42: 691–694.
3.
LaaksoE., PitkänenM., KyttäJ., RosenbergP.H.Knee-chest vs horizontal side position during induction of spinal anaesthesia in patients undergoing lumbar disc surgery. Br J Anaesth1997; 79: 609–611.
