Document Detail


Epidural analgesia in labor for a woman with an intrathecal baclofen pump.
MedLine Citation:
PMID:  19022655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 28-year-old woman in active labor at 38 weeks of gestation requested epidural analgesia. She had previously received an intrathecal baclofen infusion pump to relieve the spasticity of cerebral palsy. She had right hemiparesis and cerebral palsy but was otherwise healthy. The patient had been seen one month before her expected delivery date by a staff anesthesiologist. A lumbar X-ray demonstrated the intrathecal catheter entering the L3-4 interspace and extending to the mid-thoracic region. For labor analgesia the epidural space was identified at L4-5 with the patient sitting, using a standard 17-gauge Tuohy needle. An epidural catheter was threaded to 5 cm and provided effective analgesia until delivery four hours later. There were no postnatal complications.
Authors:
W Ali Sakr Esa; I Toma; J E Tetzlaff; S Barsoum
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-20
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  18     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-29     Completed Date:  2009-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  64-6     Citation Subset:  IM    
Affiliation:
Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Epidural / instrumentation,  methods*
Anesthesia, Obstetrical / instrumentation,  methods*
Baclofen / administration & dosage*
Catheterization / instrumentation,  methods
Cerebral Palsy / complications
Female
Humans
Infusion Pumps, Implantable*
Injections, Spinal
Muscle Relaxants, Central / administration & dosage*
Muscle Spasticity / drug therapy
Pregnancy
Pregnancy Outcome
Chemical
Reg. No./Substance:
0/Muscle Relaxants, Central; 1134-47-0/Baclofen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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