Pascoe H F, Jennings G S, Marx G F
Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461.
Reg Anesth. 1993 May-Jun;18(3):191-2.
Lumbar epidural anesthesia is safe in patients with previous spinal surgery, but it is not always successful or easily performed.
The authors present the case of a parturient with Harrington rod insertion, scheduled for cesarean delivery, whose epidural anesthetic could not be extended beyond the T10 level.
After letting the epidural block recede below the lumbar level, a successful spinal anesthetic was administered producing a sensory level to T4.