• J Anaesthesiol Clin Pharmacol · Jul 2011

    Epidural anesthesia for repeat cesarean delivery in a parturient with Klippel-Feil syndrome.

    • Kathleen A Smith and Adrienne P Ray.
    • Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina, USA.
    • J Anaesthesiol Clin Pharmacol. 2011 Jul 1; 27 (3): 377-9.

    AbstractA patient with Klippel-Feil syndrome, morbid obesity, and scoliosis required cesarean delivery. Her previous cesarean deliveries were performed under general anesthesia. She desired a regional technique. Following aspiration prophylaxis and placement of standard monitors, ultrasound was used to identify midline and L(2-3) interspace. Unintentional dural puncture occurred at 10 cm, with an inability to advance the catheter. On second attempt, an epidural catheter was placed easily. After negative test dose, 18 ml of 2% lidocaine with epinephrine was administered to the patient. A T4 level was achieved. The patient tolerated surgery well. Complete block resolution occurred at 4 hours with no neurologic sequelae.

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