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A Woman in Labor with Hypotension and Dyspnea After Epidural Placement 

A Woman in Labor with Hypotension and Dyspnea After Epidural Placement

Chapter:
A Woman in Labor with Hypotension and Dyspnea After Epidural Placement
Author(s):

Janet Waters

DOI:
10.1093/med/9780190609917.003.0022
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date: 22 July 2017

This chapter discusses neurological complications of the administration of epidural and spinal anesthesia in the obstetric population. It begins with a case report on a patient with a total spinal block, which occurs when large doses of local anesthetic intended for the epidural space are inadvertently injected into the subarachnoid space. The chapter reviews key points in recognizing and treating this potentially fatal complication. It discusses other complications, including epidural hematoma, epidural abscess, spinal cord injury, and meningitis, as well as complications from intravascular injection of local anesthetic. Lastly, it discusses how to recognize and treat the most common complication of neuraxial block, post dural puncture headache.

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