Combined spinal-epidural in the obstetric patient with Harrington rods assisted by ultrasonography.
نویسندگان
چکیده
We describe a patient with severe scoliosis, which had been corrected partially with Harrington rods, who requested epidural analgesia for labour. With no palpable landmarks, the use of ultrasound enabled identification of the vertebral midline and allowed provision of regional anaesthesia.
منابع مشابه
Anaesthetic management of vaginal delivery in a woman with Friedreich's ataxia complicated by cardiomyopathy and scoliosis.
We report the anaesthetic management of vaginal delivery in a woman with Friedreich's ataxia, who had hypertrophic cardiomyopathy and had previously undergone thoracic spinal fusion with Harrington rod fixation. Combined spinal-epidural analgesia was used. Options for the anaesthetic management of labour and delivery are discussed.
متن کاملبیحسی کامل نخاعی در بیمار مبتلا به آکندروپلازی: گزارش موردی
Background: Total spinal anesthesia is a complication of lumbar epidural anesthesia following undiagnosed subarachnoid or subdural injection of local anesthetic. Although many achondroplastic dwarfs have a normal spine, catheter insertion may be more problematic with a narrow epidural space making a subarachnoid tap more probable. Other malformations associated with achondroplasia, such as pro...
متن کاملSpontaneous Spinal Epidural Hematoma in a Patient With a Prosthetic Valve
Spontaneous Spinal Epidural Hematoma (SSEH) is a rare spinal condition. Early surgical intervention is generally indicated to prevent serious permanent neurological deficits. We encountered a case of spontaneous spinal epidural hematomas associated with motor weakness that was treated successfully by surgical evacuation.
متن کاملComparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases.
BACKGROUND Combined spinal-epidural analgesia provides rapid-onset analgesia with minimal motor block, but it is a more invasive technique than epidural analgesia and the risk of complications may be increased. This study compared the safety and effect on delivery of combined spinal-epidural and epidural analgesia in labor. METHODS A retrospective observational study was performed. Data were ...
متن کاملCombined spinal-epidural anaesthesia.
PURPOSE OF REVIEW The purpose of this review is to present the most important recent studies on the clinical use of the combined spinal-epidural technique. RECENT FINDINGS The predominant recent literature on the combined spinal-epidural technique involves its use in obstetrics. A 2004 UK survey showed that the use of the technique is increasing. Studies are presented which show the role of i...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 83 4 شماره
صفحات -
تاریخ انتشار 1999