EPIDURAL ANALGESIA IN PARTURIENTS WITH PREVIOUS SPINAL IRRADIATION

Citation
Abr. Hilton et al., EPIDURAL ANALGESIA IN PARTURIENTS WITH PREVIOUS SPINAL IRRADIATION, Canadian journal of anaesthesia, 45(9), 1998, pp. 884-887
Citations number
4
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Anesthesiology
ISSN journal
0832-610X
Volume
45
Issue
9
Year of publication
1998
Pages
884 - 887
Database
ISI
SICI code
0832-610X(1998)45:9<884:EAIPWP>2.0.ZU;2-K
Abstract
Purpose: To present two successful cases of labour analgesia in patien ts who had been treated with radiation to the lumbar spine for neurobl astomas and to discuss the considerations when planning the anaestheti c management of these patients. Clinical Features: We recently encount ered two primigravidas requesting labour analgesia, both of whom were noted to have very thin backs with prominent spinous processes and obv ious scoliosis. In both patients, the epidural space was easily identi fied and very shallow. Successful labour analgesia was achieved in bot h patients, one with a combined spinal epidural technique and the othe r with an epidural catheter. Conclusion: Craniospinal irradiation is k nown to have long-term effects on exposed nervous tissue, bone, and bl ood vessels. While a larger experience is necessary to demonstrate saf ety of regional anaesthesia in parturients following previous spinal i rradiation, we provide reports of two successful cases.