Total spinal following labour epidural analgesia managed with non-invasive ventilation

A 30-year-old woman developed total spinal anaesthesia during establishment of labour analgesia via an epidural catheter The subsequent respiratory failure was successfully managed with non-invasive ventilation. This report describes the use of non-invasive ventilation in the parturient and the proc...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2010-03, Vol.38 (2), p.373-375
Main Authors: GUTERRES, A. P, NEWMAN, M. J
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Adult
Analgesia, Epidural - adverse effects
Analgesia, Obstetrical - adverse effects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Care and treatment
Case studies
Complications and side effects
Female
Hemodynamics
Humans
Medical sciences
Peridural anesthesia
Pregnancy
Respiratory Insufficiency - etiology
Respiratory Insufficiency - therapy
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Summary:A 30-year-old woman developed total spinal anaesthesia during establishment of labour analgesia via an epidural catheter The subsequent respiratory failure was successfully managed with non-invasive ventilation. This report describes the use of non-invasive ventilation in the parturient and the process of managing the parturient safely in an appropriately monitored environment. This case displays the potential benefit of this technique in the setting of a total spinal block in preventing the need for intubation and ventilation (and subsequent emergency caesarean section) and providing adequate ventilatory function until the block subsided adequately.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x1003800222