Total Spinal Following Labour Epidural Analgesia Managed with Non-Invasive Ventilation (Case Study) - A.P. Guterres & M.J. Newman

Total Spinal Following Labour Epidural Analgesia Managed with Non-Invasive Ventilation (Case Study)

By A.P. Guterres & M.J. Newman

  • Release Date: 2010-03-01
  • Genre: Health & Fitness
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Total Spinal Following Labour Epidural Analgesia Managed with Non-Invasive Ventilation (Case Study) A.P. Guterres & M.J. Newman Book Review Score: ★★★★★ 5/5 stars

'Total spinal' anaesthesia is a rare complication of epidural analgesia and has an incidence of approximately one in 16,000 (1). This complication can occur due to unrecognised subarachnoid or subdural placement of the epidural catheter or rarely due to catheter migration into the subarachnoid space. The typical presentation of total spinal anaesthesia is respiratory failure and cardiovascular collapse that often requires immediate intubation and cardiovascular support. This case report describes the management of a parturient who developed respiratory failure, without haemodynamic changes, with non-invasive ventilation. CASE HISTORY

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