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- Title
Management of total spinal block in obstetrics.
- Authors
Sivanandan, Shiny; Surendran, Anoop
- Abstract
Total spinal or a high neuraxial blockade is a recognised complication of central neuraxial techniques. A high number of incidents of a high neuraxial block are being reported in obstetrics following the increased use of neuraxial anaesthesia. Unrecognised subdural or intrathecal placement of an epidural catheter and an intended spinal technique after a failed epidural analgesia are two main identified causes of high spinal block in obstetrics. The anaesthetist performing these procedures must be aware of this serious complication and must remain vigilant throughout. One should have a high level of suspicion of a high spinal while giving a test dose or topping up an epidural in the delivery suite or in the theatre especially if there is a rapid development of sensory and motor block within minutes.
- Subjects
ANESTHESIA in obstetrics; CARDIAC arrest; CATHETERS; SPINAL injections; NERVE block; OBSTETRICS; PATIENT positioning; SPINAL anesthesia; TREATMENT effectiveness; DISEASE incidence; EPIDURAL analgesia
- Publication
Update in Anaesthesia, 2019, Vol 34, p22
- ISSN
1353-4882
- Publication type
Article
- DOI
10.1029/WFSA-D-18-00034