Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Epidural anesthesia for obstetrics after spinal surgery.

M D Daley¹, S H Rolbin, E M Hew

¹Department of Anaesthesia, Mount Sinai Hospital, Toronto, Ontario, Canada.

Regional Anesthesia

|November 1, 1990

Summary

Epidural anesthesia is generally safe and effective for managing obstetric pain in patients with prior spinal surgery. Most attempts were successful, with only minor, temporary complications reported.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Preterm infant with necrotizing enterocolitis and arteritis secondary to streptococcus gallolyticus subspecies pasteurianus.

Journal of neonatal-perinatal medicine·2024

Same author

Prolonged cycling lowers subsequent running mechanical efficiency in collegiate triathletes.

BMC sports science, medicine & rehabilitation·2022

Same author

Dichotomy between Regulation of Coral Bacterial Communities and Calcification Physiology under Ocean Acidification Conditions.

Applied and environmental microbiology·2021

Same author

Noninvasive Neuromonitoring of Hypothermic Circulatory Arrest in Aortic Surgery.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2019

Same author

CO<sub>2</sub> storage and release in the deep Southern Ocean on millennial to centennial timescales.

Nature·2018

Same author

Long-Term Survival and Quality of Life After Hypothermic Circulatory Arrest in Aortic Surgery.

Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society·2018

Area of Science:

Anesthesiology
Obstetrics
Spinal Surgery

Background:

Previous spinal surgery presents unique challenges for epidural anesthesia in obstetric patients.
Limited data exists on the safety and efficacy of epidural anesthesia in this specific population.

Purpose of the Study:

To evaluate the safety and effectiveness of epidural anesthesia for pain management during labor and delivery in patients with a history of spinal surgery.

Main Methods:

Retrospective review of 18 obstetric patients with previous spinal surgery who received epidural anesthesia.
Analysis of 21 epidural anesthesia attempts, including ease of placement, anesthetic requirements, block quality, and complications.

Main Results:

Successful continuous lumbar epidural anesthesia was achieved in 20 out of 21 attempts.

Related Experiment Videos

Ten attempts were technically easy; 11 required excessive anesthetic or resulted in patchy blocks.

Temporary low back pain was the only noted complication, occurring in two patients with multiple attempts.

Conclusions:

Epidural anesthesia is a safe and generally effective option for obstetric pain relief in patients with prior spinal surgery.
While most procedures are successful, some may require adjustments due to anesthetic requirements or block quality.