H F Pascoe1, G S Jennings, G F Marx. 1. Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461.
Abstract
BACKGROUND: Lumbar epidural anesthesia is safe in patients with previous spinal surgery, but it is not always successful or easily performed. METHOD: The 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. RESULT: After letting the epidural block recede below the lumbar level, a successful spinal anesthetic was administered producing a sensory level to T4.
BACKGROUND: Lumbar epidural anesthesia is safe in patients with previous spinal surgery, but it is not always successful or easily performed. METHOD: The 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. RESULT: After letting the epidural block recede below the lumbar level, a successful spinal anesthetic was administered producing a sensory level to T4.