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Combined spinal–epidural anaesthesia for Caesarean section in a paraplegic woman: difficulty in obtaining the expected level of block

Published online by Cambridge University Press:  16 August 2006

M. Agostoni ,
E. Giorgi ,
P. Beccaria ,
A. Zangrillo  and
G. Valentini
M. Agostoni
Affiliation:
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Via Olgettina 60, 20132 Milano, Italy
E. Giorgi
Affiliation:
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Via Olgettina 60, 20132 Milano, Italy
P. Beccaria
Affiliation:
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Via Olgettina 60, 20132 Milano, Italy
A. Zangrillo
Affiliation:
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Via Olgettina 60, 20132 Milano, Italy
G. Valentini
Affiliation:
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Via Olgettina 60, 20132 Milano, Italy
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Abstract

We describe the satisfactory use of combined spinal epidural (CSE) anaesthesia in the management of a 29-year-old paraplegic woman, with a spinal cord lesion at the T7 level, suffering from episodes of autonomic hyper-reflexia, during elective Caesarean section.

Keywords

anaesthetic techniquecombined spinal epidural blockcaesarean sectionautonomic nervous systemhyper-reflexiaparaplegia
Type
Clinical Letter
Information
European Journal of Anaesthesiology , Volume 17 , Issue 5 , May 2000 , pp. 329 - 331
Copyright
2000 European Society of Anaesthesiology

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