Document Detail


Intentional puncture of the dural space as an aid to epidural placement in a morbidly obese parturient.
MedLine Citation:
PMID:  11688407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In this case report the authors discuss a technique occasionally employed at their institution to aid in identification of the epidural space in morbidly obese parturients. CASE REPORT: A 29-year-old primagravida, with a body mass index of 90 (155 cm tall, 215 kg) presented for induction of labor. A 27-ga. Sprotte spinal needle was intentionally passed through a Weiss epidural needle and into the subarachnoid space to confirm placement of the Weiss needle in the epidural space. An epidural catheter was then placed which functioned well for labor and subsequent caesarian delivery. CONCLUSIONS: In selected patients, intentional puncture of the dura can aid in confirmation of the epidural space.
Authors:
G Mychaskiw; T Panigrahi; T Ray; S Shah
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Mississippi State Medical Association     Volume:  42     ISSN:  0026-6396     ISO Abbreviation:  J Miss State Med Assoc     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-11-01     Completed Date:  2001-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7505622     Medline TA:  J Miss State Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  303-5     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, University of Mississippi School of Medicine, Jackson, Mississippi, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Epidural / instrumentation*,  methods*
Body Mass Index
Cesarean Section
Epidural Space / anatomy & histology*
Female
Humans
Needles
Obesity, Morbid / diagnosis*
Pregnancy
Punctures
Sensitivity and Specificity

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


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