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Combined spinal and epidural analgesia in a parturient with severe myasthenia gravis
1Department of Anesthesiology, The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina 27157-1009, USA.
Regional Anesthesia and Pain Medicine
|May 7, 1998
Abstract
Background And Objectives:
A 27-year-old woman with a history of myasthenia gravis presented for vaginal delivery.
Methods:
A combined spinal epidural was initiated with 7.5 microg intrathecal sufentanil at the time of first request for analgesia followed by 140 mg epidural lidocaine prior to spontaneous vaginal delivery.
Results:
The patient had a pain-free spontaneous vaginal delivery uncomplicated by muscle weakness.
Conclusion:
Combined spinal and epidural anesthesia using intrathecal opioids initially provides labor analgesia with minimal muscle weakness in the parturient with myasthenia gravis.