Javier Aquiles Hidalgo Acosta

By Javier Aquiles Hidalgo Acosta, Freddy Octavio Zambrano Hidalgo, María Fernanda Calderón León and Johnny Jerez Castañeda

The justification of this chapter is based on knowing the neurological complications that can be triggered during or after spinal anesthesia since it is one of the most performed procedures in anesthesiology, the main objective is to make a chapter with the most described complications in spinal anesthesia. What are the complications of spinal anesthesia? What complications have been described during the procedure or during its postoperative recovery? The spinal anesthesia technique is a necessary procedure to perform a surgical intervention whose objective is to temporarily block the brain’s ability to recognize painful stimuli. Knowing possible complications that can occur during spinal anesthesia or in the postoperative period allows for early diagnosis and treatment. Complications in anesthesia can be clinically manifested by headache, gluteal pain that radiates to the lower limbs, neuropathy, severe paresthesia, among others, and can generate reversible and irreversible disabling lesions depending on their mechanism of injury.

Part of the book: Advances in Regional Anesthesia

By Javier Aquiles Hidalgo Acosta, María Fernanda Calderón León, Nataly del Carmen Quisiguiña Jarrin, Paola Vanessa Solorzano Acosta, Mariuxi Vanessa Viteri Herrera, Silvio Paul Carlosama Ruiz, Brigitte Carolina Guerra Espinoza, Wendy Belén Iguasnia Guala, Jorge Eduardo Bejarano Macias and Anthony Guillermo Merino Estrella

Invasive candidiasis secondary to Candida albicans should be highly suspected in patients exposed to the various risk factors that contribute to the affectation of this fungus, in order to provide early management of sepsis, through the use of antifungals in a timely manner, and to avoid the development of multiorgan failure. Diagnosis is fundamental and is based on laboratory studies, cultures, and risk scales; however, there are still limitations due to the fact that they do not have 100% sensitivity or specificity. Echinocandins remain the first line of treatment for patients with invasive candidiasis associated with C. albicans. Invasive candidiasis can affect any organ and increase mortality in adult and neonatal intensive care unit patients.

Part of the book: Candida albicans - Epidemiology and Treatment [Working title]