Finally, Banso Baptist Hospital is a mission hospital with limited facilities. The hospital intensive care unit has very limited facilities and therefore can best be described as a high dependency unit (HDU). This index patient had a good postoperative outcome. We must reiterate that the significance and management of such clinical situations depends upon the anesthesiologist's acumen and a high index of suspicion in order to detect early that something is "going wrong". The experience-based empirical anesthesia practice should always consider the evidence-based approach in such clinical situations. The best clinical pearl in such situations is to believe and to intervene immediately any detectable abnormalities are seen. Disbelief and insecurity are common patterns of this situation and may influence the final outcome.[1,32] Therefore, the knowledge of the physiologic changes caused by spinal anesthesia and its complications, adequate patient selection, respecting the contraindications of the procedure, adequate monitoring, and constant vigilance are of paramount importance to the eventual outcome.
Dr. Benjamin Kakule Malikidogo MD, PAACS, General Surgeon, Department of General Surgery, Banso Baptist Hospital, Cameroon, who provided professional support during the writing of this case report and also read and approved the final manuscript.
Mr. Samuel Yengong SRN, Dip. Anaesthesia, Anaesthesiologist, Department of Anaesthesia, Banso Baptist Hospital, Cameroon, who provided professional support during the writing of this case report and also read and approved the final manuscript.
No record of funding for this case report declared.
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J Med Case Reports. 2018;12(144) © 2018 BioMed Central, Ltd.