Recurrent spontaneous cervical epidural hematoma in a parturient 11 hours after vaginal delivery without labor epidural analgesia

Okada, Hitoshi; Kuroda, Yasuo; Amano, Kosaku; Kikuchi, Toshihiro; Matsuoka, Satoshi; Ogishima, Daiki

doi:10.1016/j.ijoa.2018.03.006

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The final mode of delivery was elective cesarean section, emergent cesarean section, and vaginal delivery in 5, 8, and 29 cases, respectively (Table 2 ). General anesthesia was selected only in 1 case with a history of recurrent spontaneous spinal epidural hematoma [ 12 ].…”

Section: Resultsmentioning

confidence: 99%

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Yakhup,

Okada,

Kawagoe

et al. 2023

JA Clin Rep

View full text Add to dashboard Cite

Background Neuraxial anesthesia is widely used as the most effective and standard method in obstetric anesthesia. However, there is a concern that neuraxial anesthesia may be technically difficult or ineffective in pregnant women with spinal disease. Therefore, this study aimed to investigate the implementation rate of neuraxial anesthesia among pregnant women with spinal diseases and their success rate at our institution. Methods The subjects of this study were pregnant patients who delivered at Juntendo University Nerima Hospital between April 2017 and December 2020. After obtaining ethics committee approval, data were collected from patients’ medical records. Results Of the 2682 pregnant women who delivered, 1550 underwent preanesthetic evaluation. There were 42 deliveries in 39 pregnant women with spinal diseases (1.7% of all pregnant women and 2.7% of those who underwent preanesthetic evaluation). The diagnoses included adolescent idiopathic scoliosis (51.3%), lumbar disc herniation (23.1%), and others. The mode of delivery was the elective cesarean section in 5 cases, emergent cesarean section in 8 cases, and vaginal delivery in 29 cases. Only one case required general anesthesia. Of the 38 cases of labor analgesia, the neuraxial block was inadequate in 3 cases (7.9%) and technically difficult in 3 cases (7.9%). However, the patients complained of no lower extremity neuropathy, infection, or inadvertent dural puncture. Discussion Neuraxial anesthesia was an option in most cases, even in pregnant women complicated with spinal disease, if an anesthesiologist’s plan before delivery after careful preanesthetic evaluation.

show abstract

Section: Resultsmentioning

confidence: 99%

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Yakhup,

Okada,

Kawagoe

et al. 2023

JA Clin Rep

View full text Add to dashboard Cite

show abstract

Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review

Zheng

Nyam

Liu³

et al. 2020

World Neurosurgery

View full text Add to dashboard Cite

Recurrent spontaneous cervical epidural hematoma in a parturient 11 hours after vaginal delivery without labor epidural analgesia

Cited by 2 publications

References 8 publications

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review

Contact Info

Product

Resources

About

Recurrent spontaneous cervical epidural hematoma in a parturient 11 hours after vaginal delivery without labor epidural analgesia

Cited by 2 publications

References 8 publications

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Anesthesia outcomes of pregnant women with spinal diseases: a single-center case-series study

Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review

Contact Info

Product

Resources

About

Recurrent spontaneous cervical epidural hematoma in a parturient 11 hours after vaginal delivery without labor epidural analgesia