-
J Miss State Med Assoc · Oct 2001
Intentional puncture of the dural space as an aid to epidural placement in a morbidly obese parturient.
- G Mychaskiw, T Panigrahi, T Ray, and S Shah.
- Department of Anesthesiology, University of Mississippi School of Medicine, Jackson, Mississippi, USA.
- J Miss State Med Assoc. 2001 Oct 1;42(10):303-5.
ObjectiveIn 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 ReportA 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.ConclusionsIn selected patients, intentional puncture of the dura can aid in confirmation of the epidural space.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..