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A Case Report of Paravertebral Block

A Safe Alternative for Microdiscectomy in a Pregnant Patient

Negi, Charoo, MD; Dash, Hari Hara, MD; Singh, Balkar, MD

doi: 10.1213/XAA.0000000000000921
Case Reports

Nonobstetric surgery during pregnancy is common. Administration of safe anesthesia to a pregnant patient, while minimizing its side effects on the fetus, is a major challenge for the anesthesiologist. Both general anesthesia and central neuraxial block are associated with risks during early pregnancy. Regional nerve blocks are being explored as possible alternatives whenever feasible. This report emphasizes the usefulness of ultrasound-guided, modified bilateral paravertebral block in a first-trimester pregnant patient undergoing microdiscectomy for cauda equina syndrome.

From the Department of Anesthesiology and Pain, Fortis Memorial Research Institute, Gurugram, Haryana, India.

Accepted for publication September 25, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Charoo Negi, MD, Department of Anaesthesiology and Pain, Fortis Memorial Research Institute, Sector 44, Gurugram, Haryana 122002, India. Address e-mail to

© 2019 International Anesthesia Research Society
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