Epidural anesthesia for repeat cesarean delivery in a parturient with Klippel-Feil syndrome.
作者信息
Smith Kathleen A, Ray Adrienne P
机构信息
Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina, USA.
出版信息
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):377-9. doi: 10.4103/0970-9185.83686.
Abstract
A patient with Klippel-Feil syndrome, morbid obesity, and scoliosis required cesarean delivery. Her previous cesarean deliveries were performed under general anesthesia. She desired a regional technique. Following aspiration prophylaxis and placement of standard monitors, ultrasound was used to identify midline and L(2-3) interspace. Unintentional dural puncture occurred at 10 cm, with an inability to advance the catheter. On second attempt, an epidural catheter was placed easily. After negative test dose, 18 ml of 2% lidocaine with epinephrine was administered to the patient. A T4 level was achieved. The patient tolerated surgery well. Complete block resolution occurred at 4 hours with no neurologic sequelae.
摘要
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