Document Detail


Total spinal following labour epidural analgesia managed with non-invasive ventilation.
MedLine Citation:
PMID:  20369776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 30-year-old woman developed total spinal anaesthesia during establishment of labour analgesia via an epidural catheter The subsequent respiratory failure was successfully managed with non-invasive ventilation. This report describes the use of non-invasive ventilation in the parturient and the process of managing the parturient safely in an appropriately monitored environment. This case displays the potential benefit of this technique in the setting of a total spinal block in preventing the need for intubation and ventilation (and subsequent emergency caesarean section) and providing adequate ventilatory function until the block subsided adequately.
Authors:
A P Guterres; M J Newman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  38     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-07     Completed Date:  2010-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  373-5     Citation Subset:  IM    
Affiliation:
Department of Women's Anaesthesia, Women's and Children's Hospital, Adelaide, South Australia, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Epidural / adverse effects*
Analgesia, Obstetrical / adverse effects*
Female
Hemodynamics
Humans
Pregnancy
Respiratory Insufficiency / etiology*,  therapy

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


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