• A&A practice · Jun 2019

    Case Reports

    Epidural Anesthesia for Cesarean Delivery in A Parturient With Lumboperitoneal Shunt: A Case Report.

    • Ingrid Moreno-Duarte, Robert R Hall, Max S Shutran, Manga G Radhakrishnan, and Dan M Drzymalski.
    • From the Department of Anesthesiology and Critical Care.
    • A A Pract. 2019 Jun 15; 12 (11): 436-437.

    AbstractA lumboperitoneal shunt facilitates dynamic flow of cerebrospinal fluid into the peritoneum. Consequently, neuraxial technique placement in the parturient with a lumboperitoneal shunt can result in unexpected levels of blockade. We present the case of a parturient with a lumboperitoneal shunt who experienced symptoms consistent with high blockade after epidural administration of 450 mg chloroprocaine. This report emphasizes potential mechanisms for high neuraxial blockade and strategies to decrease risks in this unique patient population.

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