Which is safer: A traditional epidural or a combined spinal epidural?

Juan Davila-Velazquez; Jeffrey Bernstein

doi:10.1007/978-3-319-43169-7_45

Which is safer: A traditional epidural or a combined spinal epidural?

Juan Davila-Velazquez, Jeffrey Bernstein

Anesthesiology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A 32-year-old primigravida at 5-cm dilatation, with regular contractions and intact membranes, is admitted to the labor floor in active labor. She is obese (body mass index [BMI] 41) and has a Mallampati class III airway. The rest of her medical history is unremarkable. After addressing her questions and concerns and signing consent, you perform a traditional epidural with loss of resistance to air, 6 cm from the skin. Aspiration and test dose are negative. The epidural catheter is loaded with 10 ml bupivacaine, 0.125 %, and fentanyl, 50 µ(mu)g. Patient-controlled epidural analgesia with both continuous and demand dosing is initiated before you leave the room.

Original language	English (US)
Title of host publication	You're Wrong, I'm Right
Subtitle of host publication	Dueling Authors Reexamine Classic Teachings in Anesthesia
Publisher	Springer International Publishing
Pages	153-154
Number of pages	2
ISBN (Electronic)	9783319431697
ISBN (Print)	9783319431673
DOIs	https://doi.org/10.1007/978-3-319-43169-7_45
State	Published - Jan 1 2016

Keywords

Combined spinal epidural (CSE)
Emergency cesarean delivery
Epidural anesthesia
Obstetric anesthesia
Post-dural puncture headache

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-319-43169-7_45

Cite this

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title = "Which is safer: A traditional epidural or a combined spinal epidural?",

abstract = "A 32-year-old primigravida at 5-cm dilatation, with regular contractions and intact membranes, is admitted to the labor floor in active labor. She is obese (body mass index [BMI] 41) and has a Mallampati class III airway. The rest of her medical history is unremarkable. After addressing her questions and concerns and signing consent, you perform a traditional epidural with loss of resistance to air, 6 cm from the skin. Aspiration and test dose are negative. The epidural catheter is loaded with 10 ml bupivacaine, 0.125 %, and fentanyl, 50 µ(mu)g. Patient-controlled epidural analgesia with both continuous and demand dosing is initiated before you leave the room.",

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N2 - A 32-year-old primigravida at 5-cm dilatation, with regular contractions and intact membranes, is admitted to the labor floor in active labor. She is obese (body mass index [BMI] 41) and has a Mallampati class III airway. The rest of her medical history is unremarkable. After addressing her questions and concerns and signing consent, you perform a traditional epidural with loss of resistance to air, 6 cm from the skin. Aspiration and test dose are negative. The epidural catheter is loaded with 10 ml bupivacaine, 0.125 %, and fentanyl, 50 µ(mu)g. Patient-controlled epidural analgesia with both continuous and demand dosing is initiated before you leave the room.

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KW - Emergency cesarean delivery

KW - Epidural anesthesia

KW - Obstetric anesthesia

KW - Post-dural puncture headache

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Which is safer: A traditional epidural or a combined spinal epidural?

Abstract

Keywords

ASJC Scopus subject areas

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