Combined spinal and epidural analgesia in a parturient with severe myasthenia gravis.
作者信息
D'Angelo R, Gerancher J C
机构信息
Department of Anesthesiology, The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina 27157-1009, USA.
出版信息
Reg Anesth Pain Med. 1998 Mar-Apr;23(2):201-3. doi: 10.1097/00115550-199823020-00015.
BACKGROUND AND OBJECTIVES
A 27-year-old woman with a history of myasthenia gravis presented for vaginal delivery.
METHODS
A combined spinal epidural was initiated with 7.5 microg intrathecal sufentanil at the time of first request for analgesia followed by 140 mg epidural lidocaine prior to spontaneous vaginal delivery.
RESULTS
The patient had a pain-free spontaneous vaginal delivery uncomplicated by muscle weakness.
CONCLUSION
Combined spinal and epidural anesthesia using intrathecal opioids initially provides labor analgesia with minimal muscle weakness in the parturient with myasthenia gravis.
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