Combined spinal-epidural anaesthesia for Caesarean section in a paraplegic woman: difficulty in obtaining the expected level of block.
We describe the satisfactory use of combined spinal epidural (CSE) anaesthesia in the management of a 29-year-old paraplegic woman, with a spinal cord lesion at the T7 level, suffering from episodes of autonomic hyper-reflexia, during elective Caesarean section.
Department of Anesthesiology, University of Milan, IRCCS H San Raffaele Milano, Italy. massimo.agostoni@hsr.it
M
M
Agostoni
E
E
Giorgi
P
P
Beccaria
A
A
Zangrillo
G
G
Valentini
D000328:Adult; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010264:Paraplegia / Q000150:complications*; D011247:Pregnancy; D012021:Reflex, Abnormal