Intentional puncture of the dural space as an aid to epidural placement in a morbidly obese parturient

In this case report the authors discuss a technique occasionally employed at their institution to aid in identification of the epidural space in morbidly obese parturients. A 29-year-old primagravida, with a body mass index of 90 (155 cm tall, 215 kg) presented for induction of labor. A 27-ga. Sprot...

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Bibliographic Details
Published inJournal of the Mississippi State Medical Association Vol. 42; no. 10; p. 303
Main Authors Mychaskiw, 2nd, G, Panigrahi, T, Ray, T, Shah, S
Format Journal Article
LanguageEnglish
Published United States 01.10.2001
Subjects
Adult
Anesthesia, Epidural - instrumentation
Anesthesia, Epidural - methods
Body Mass Index
Cesarean Section
Epidural Space - anatomy & histology
Female
Humans
Needles
Obesity, Morbid - diagnosis
Pregnancy
Punctures
Sensitivity and Specificity
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Summary:In this case report the authors discuss a technique occasionally employed at their institution to aid in identification of the epidural space in morbidly obese parturients. A 29-year-old primagravida, with a body mass index of 90 (155 cm tall, 215 kg) presented for induction of labor. A 27-ga. Sprotte spinal needle was intentionally passed through a Weiss epidural needle and into the subarachnoid space to confirm placement of the Weiss needle in the epidural space. An epidural catheter was then placed which functioned well for labor and subsequent caesarian delivery. In selected patients, intentional puncture of the dura can aid in confirmation of the epidural space.
ISSN:0026-6396