Ephedrine use in laboring patients with epidural anesthesia and risk of cesarean delivery

2022 ◽  
Vol 226 (1) ◽  
pp. S682-S683
Author(s):  
Alessandro Ghidini ◽  
Kelly Vanasche ◽  
Alyssa Cacace ◽  
Anna Locatelli
Keyword(s):  
Cesarean Delivery ◽  
Epidural Anesthesia

Epidural Anesthesia for Cesarean Delivery in a Parturient With Lumboperitoneal Shunt

2019 ◽  
Vol 12 (12) ◽  
pp. 436-437 ◽  
Author(s):  
Ingrid Moreno-Duarte ◽  
Robert R. Hall ◽  
Max S. Shutran ◽  
Manga G. Radhakrishnan ◽  
Dan M. Drzymalski
Keyword(s):  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Lumboperitoneal Shunt

Epidural Anesthesia for Cesarean Delivery: Failure Rates

2009 ◽  
Vol 108 (4) ◽  
pp. 1358 ◽  
Author(s):  
Robert P. S. Introna ◽  
John R. Blair ◽  
John B. Neeld
Keyword(s):  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Failure Rates

Effects of Epidural Injection on Spinal Block During Combined Spinal and Epidural Anesthesia for Cesarean Delivery

2000 ◽  
Vol 25 (6) ◽  
pp. 591-595 ◽  
Author(s):  
Duck Hwan Choi ◽  
Nam Kee Park ◽  
Hyun Sung Cho ◽  
Tae Soo Hahm ◽  
Ik Soo Chung
Keyword(s):  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Epidural Injection ◽  
Spinal Block

scholarly journals Mepivacaine-induced anaphylactic shock in a pregnant woman undergoing combined spinal and epidural anesthesia for cesarean delivery: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Miyuki Takahashi ◽  
Kunihisa Hotta ◽  
Soichiro Inoue ◽  
Tomonori Takazawa ◽  
Tatsuo Horiuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Anaphylactic Shock ◽  
Vital Signs ◽  
Birth Asphyxia ◽  
Causative Factor ◽  
Fetal Heart Rate Monitoring ◽  
Developmental Problems ◽  
Severe Hypotension

Abstract Background Anaphylactic shock during pregnancy is a rare but life-threatening event for both the mother and the newborn. Case presentation A 42-year-old woman, who was pregnant with twins, was scheduled for cesarean delivery under combined spinal and epidural anesthesia. An epidural catheter was placed uneventfully. After spinal anesthesia, the patient exhibited skin symptoms and severe hypotension. The patient was diagnosed with anaphylaxis, and subsequently, treatment was started. Fetal heart rate monitoring revealed sustained bradycardia, and it was decided to proceed with cesarean delivery. After delivery, the mother’s vital signs recovered. Both infants were intubated due to birth asphyxia. Currently, the twins are 4 years old and exhibit no developmental problems. Clinical examination identified mepivacaine as the causative agent of anaphylaxis. Conclusions This case report highlights that upon occurrence of anaphylaxis during pregnancy, maternal treatment and fetal assessment should be started immediately. Indication for immediate cesarean delivery should be considered and a definite identification of the causative factor pursued.

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