Journal of investigative medicine high impact case reports
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J Investig Med High Impact Case Rep · Oct 2016
Combined Spinal-Epidural for Vaginal Delivery in a Parturient With Takayasu's Arteritis.
Takayasu's arteritis is a rare, progressive panendarteritis involving all layers of the arterial wall. This disease includes variable involvement of the aorta and its major branches. ⋯ Per literature review, a combined spinal-epidural technique for planned vaginal delivery has not been described for a laboring Takayasu patient. Our technique, utilizing intrathecal opioids and a low-dose local anesthetic-opioid epidural infusion, provided adequate analgesia while maintaining hemodynamic stability throughout labor augmentation and successful vaginal delivery.