Dual epidural catheters for labor analgesia in a spinal cord injury patient: a case report
Braz. J. Anesth. (Impr.)
; 73(4): 506-509, 2023. graf
Artigo
em Inglês
| LILACS
| ID: biblio-1447627
Biblioteca responsável:
BR891.2
ABSTRACT
Abstract Impediment to local anesthetic solution in the epidural space results in unsatisfactory pain relief during labor epidural. Patients with a history of back trauma and spinal instrumentation have increased rates of epidural failure due to patchy spread of local anesthetic with obliterated epidural space. Dual Epidural Catheters (DEC) can be used in such clinical scenarios with complete labor analgesia and improved patient satisfaction. We present the successful management of a parturient with vertebral fracture at risk for epidural failure and neurologic injury due to bone fragments and inserted cranial and caudal to the fractured vertebra using ultrasound to avoid neurologic sequelae.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Traumatismos da Medula Espinal
/
Analgesia Epidural
/
Anestesia Epidural
Limite:
Humanos
Idioma:
Inglês
Revista:
Braz. J. Anesth. (Impr.)
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
NYC H/ Hospitals, Metropolitan Medical Center/US
/
University of Texas Medical Branch at Galveston/US