Regional anesthesia
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Regional anesthesia · Jul 1991
Case ReportsHorner's syndrome after epidural block in early pregnancy.
Horner's syndrome after epidural block in a first-trimester parturient has not previously been reported. The authors describe a case of unilateral Horner's syndrome after single-dose epidural block in a 12-week pregnant female.
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In 100 pregnant women, identification of the epidural space was performed by a modified drip method. A saline infusion was prepared, leaving the distal 40 cm of infusion tubing full of air, and then attached to the hub of a Tuohy needle. ⋯ There were no unintentional dural punctures. This technique has advantages over the hanging drop and the manual loss of resistance techniques.
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Regional anesthesia · Jul 1991
Case ReportsLumbar epidural anesthesia initiated in the knee-chest position.
The knee-chest position may become necessary in labor to mitigate fetal heart rate decelerations. This position may also prove advantageous for initiation of lumbar epidural anesthesia. This case report demonstrates a clinical situation in which lumbar epidural anesthesia was initiated in the knee-chest position. A description of the technique is included.