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Year : 2011  |  Volume : 27  |  Issue : 3  |  Page : 377-379

Epidural anesthesia for repeat cesarean delivery in a parturient with Klippel-Feil syndrome

Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina, USA

Correspondence Address:
Kathleen A Smith
Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9185.83686

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A patient with Klippel-Feil syndrome, morbid obesity, and scoliosis required cesarean delivery. Her previous cesarean deliveries were performed under general anesthesia. She desired a regional technique. Following aspiration prophylaxis and placement of standard monitors, ultrasound was used to identify midline and L 2-3 interspace. Unintentional dural puncture occurred at 10 cm, with an inability to advance the catheter. On second attempt, an epidural catheter was placed easily. After negative test dose, 18 ml of 2% lidocaine with epinephrine was administered to the patient. A T4 level was achieved. The patient tolerated surgery well. Complete block resolution occurred at 4 hours with no neurologic sequelae.

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