Epidural Analgesia in the Parturient with Spinal Cord Injury - A case report -

Kyoung Ji Lim, Kum Suk Park, Sang Hwan Do, Young Sun Lee
2007 Korean Journal of Anesthesiology  
Autonomic dysreflexia is a syndrome of uninhibited sympathetic spinal reflexes in response to stimuli below the level of injury in the patients with high spinal lesions. During labor, it can cause uteroplacental vasoconstriction resulting in fetal distress or devastating maternal complications including retinal hemorrhage, cerebrovascular accident and hypertensive encephalopathy. Neuraxial blockade has proven to be an effective method to attenuate or prevent it. We present a case detailing the
more » ... se of epidural analgesia in managing the delivery of a quadriplegic parturient with a history of autonomic dysreflexia. (Korean J Anesthesiol 2007; 53: 262~5)
doi:10.4097/kjae.2007.53.2.262 fatcat:llishwntgna6hamwd62vaxplcq