Combined spinal-epidural anaesthesia for Caesarean section in a paraplegic woman: difficulty in obtaining the expected level of block

被引：7

作者：

Agostoni, M ^{[1
]}

Giorgi, E ^{[1
]}

Beccaria, P ^{[1
]}

Zangrillo, A ^{[1
]}

Valentini, G ^{[1
]}

机构：

[1] Univ Milan, IRCCS, Hosp San Raffaele, Dept Anesthesiol, I-20132 Milan, Italy

来源：

EUROPEAN JOURNAL OF ANAESTHESIOLOGY | 2000年 / 17卷 / 05期

关键词：

anaesthetic technique; combined spinal epidural block; caesarean section; autonomic nervous system; hyper-reflexia; paraplegia;

D O I：

10.1046/j.1365-2346.2000.00682.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We describe the satisfactory use of combined spinal epidural (CSE) anaesthesia in the management of a 29-year-old paraplegic woman, with a spinal cord lesion at the T7 level, suffering from episodes of autonomic hyper-reflexia, during elective Caesarean section.

引用

页码：329 / 331

页数：3

共 6 条

[1] PREGNANCY, LABOR AND DELIVERY POST SPINAL-CORD INJURY [J].

CROSS, LL ;

MEYTHALER, JM ;

TUEL, SM ;

CROSS, AL .

PARAPLEGIA, 1992, 30 (12) :890-902

[2] EPIDURAL ANALGESIA AND PREVENTION OF AUTONOMIC HYPERREFLEXIA IN A PARAPLEGIC PARTURIENT [J].

KAIDOMAR, M ;

RAUCOULES, M ;

BENMILED, M ;

CARLON, M ;

GRIMAUD, D .

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1993, 12 (05) :493-496

[3] EPIDURAL ANALGESIA AND AUTONOMIC HYPERREFLEXIA - A CASE-REPORT [J].

KATZ, VL ;

THORP, JM ;

CEFALO, RC .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1990, 162 (02) :471-472

[4]

OWEN MD, 1994, REGION ANESTH, V19, P415

[5] CARDIOVASCULAR COMPLICATIONS DURING ANESTHESIA IN CHRONIC SPINAL-CORD INJURED PATIENTS [J].

SCHONWALD, G ;

FISH, KJ ;

PERKASH, I .

ANESTHESIOLOGY, 1981, 55 (05) :550-558

[6] PREGNANCY AND AUTONOMIC HYPERREFLEXIA IN PATIENTS WITH SPINAL-CORD LESIONS [J].

WANNER, MB ;

RAGETH, CJ ;

ZACH, GA .

PARAPLEGIA, 1987, 25 (06) :482-490

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