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Paraplegia After Accidental Continuous Subdural Analgesia

Chen, J.; Hu, Y.; Lv, L.

Obstetric Anesthesia Digest: March 2018 - Volume 38 - Issue 1 - p 53
doi: 10.1097/01.aoa.0000530019.14216.5e
Case Reports
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(Int J Obstet Anesth. 2017;30:61–66)

In this case report a healthy 34 year-old woman undergoing her second cesarean section received combined spinal epidural anesthesia for surgery using an 18-G Tuohy epidural needle and a 25-G spinal needle. The spinal injection consisted of 0.75% ropivacaine 1.8 mL. Upon removal of the spinal needle, the epidural needle was rotated 90 degrees cephalad and an epidural catheter was inserted 3 cm into the epidural space. A T6 bilateral sensory level was achieved. The surgery was uneventful; the mother was stable throughout and a healthy was child delivered.

Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, China

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