• Regional anesthesia · May 1993

    Case Reports

    Successful spinal anesthesia after inadequate epidural block in a parturient with prior surgical correction of scoliosis.

    • H F Pascoe, G S Jennings, and G F Marx.
    • Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461.
    • Reg Anesth. 1993 May 1;18(3):191-2.

    BackgroundLumbar epidural anesthesia is safe in patients with previous spinal surgery, but it is not always successful or easily performed.MethodThe authors present the case of a parturient with Harrington rod insertion, scheduled for cesarean delivery, whose epidural anesthetic could not be extended beyond the T10 level.ResultAfter letting the epidural block recede below the lumbar level, a successful spinal anesthetic was administered producing a sensory level to T4.

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