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Unexpectedly extensive conduction blocks in obstetric epidural analgesia
Author(s) -
MORGAN B.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14284.x
Subject(s) - medicine , anesthesia , epidural block , block (permutation group theory) , cesarean delivery , pregnancy , geometry , mathematics , biology , genetics
Summary Life‐threatening extensions of conduction block during obstetric epidural analgesia can be classified according to the risk to the mother. High blocks that occur in the presence of the anaesthetist should present a readily treatable problem. Reports of total spinal anaesthesia that occur with no anaesthetist in attendance call for a reappraisal of present practice. Changes in current anaesthetic practice, which might increase safety with epidural analgesia, are top‐ups by midwives, but only when the anaesthetist is on the delivery suite: repeated assessment of the nature of the conduction block by an anaesthetist: and continuous infusions with anaesthetist‐only top‐ups.