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Colombian Journal of Anestesiology
versão impressa ISSN 0120-3347versão On-line ISSN 2256-2087
Resumo
AMAYA-ZUNIGA, William F.; MOJICA-MANRIQUE, Viviana; SANTOS-GUTIERREZ, Iván e ALFONSO-JAIMES, Julia. Migration of liquid silicone, an emerging contraindication of neuraxial anesthesia. Rev. colomb. anestesiol. [online]. 2021, vol.49, n.4, e401. Epub 25-Ago-2021. ISSN 0120-3347. https://doi.org/10.5554/22562087.e977.
The illegal use of liquid silicone products or biopolymers in gluteal augmentation procedures is giving rise to multiple complications, with a significant negative health impact, both in the short and long-term. The migration of polymers to the sacral and lumbar region represents a major limitation to conducting neuraxial anesthesia procedures. This silicon migration is unpredictable through the superficial tissue as is widely described in the literature. Caudal, spinal and epidural anesthesia may cross the silicone in the fascia and contaminate the neural axis with substances that are highly capable of causing inflammation, edema and tissue necrosis. In order to improve the safety of neuraxial anesthetic procedures and avoid the potential risk of dissemination and contamination of the neural axis, this complication must be ruled out, or be considered an emerging contraindication for these anesthetic procedures.
Palavras-chave : Silicone injection; Silicone migration; Regional anesthesia; Patient safety; Anesthesia.