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Chapter 62 - Complications of Obstetric Regional Anesthesia

from Section 6 - Obstetric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
John George  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

You have just placed an epidural in a 19-year-old pregnant female with no prior medical history. After a negative test dose, the epidural is bolused with a bupivacaine and fentanyl mixture. After 10 minutes, the patient’s blood pressure is 80/40 mm Hg. The fetal monitor is showing late decelerations. What do you do?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 266 - 270
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1154–5.Google Scholar
Chestnut, DH, Wong, CA, Tsen, LC, et al. Chestnut’s Obstetric Anesthesia: Principles and Practice, 6th ed. Philadelphia: Elsevier, 2020, pp. 498–507, 598–603.Google Scholar
Gilbert, A, Owens, BD, Mulroy, MF. Epidural hematoma after outpatient epidural anesthesia. Anesth Analg, 2002;94:77–8.CrossRefGoogle ScholarPubMed
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2026–9.Google Scholar
Sollmann, WP, Gaab, MR, Panning, B. Lumbar epidural hematoma and spinal abscess following peridural anesthesia. Reg Anaesth, 1987;10(4):121–4.Google ScholarPubMed
Stoelting, RK, Dierdorf, SF. Anesthesia and Co-Existing Disease, 4th ed. Philadelphia: Churchill Livingstone, 2002, pp. 577–8.Google Scholar

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