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Total spinal blockade after Interscalene brachial plexus block- A rare but possible complication

Interscalene block is a commonly done regional anesthesiatechnique for shoulder and upper arm surgery. It has been used regularly as it is simple and achieves good and satisfactory block, but still it is not completely devoid of complications. In our case we have given interscalene block to a 45 year old male patient of ASA grade-I. Immediately after injecting the local anesthetic drug the patient became unconscious and unresponsive due to total spinal blockade. The patient was resuscitated and shifted to ICU where the he regained his consciousness after few hours and shifted to the ward without any neurological deficit.