Subcutaneous Cervical Emphysema After Labour Epidural Analgesia:

The authors report a rare case of iatrogenic subcutaneous cervical emphysema after lumbar epidural catheter insertion for labour analgesia. Although lumbar epidural analgesia is the gold standard in labour analgesia, some complications may occur. Subcutaneous emphysema is a rare complication followi...

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Detalhes bibliográficos
Autor principal: Rego, Sara Margarida (author)
Outros Autores: Silva, Carlos (author), Lima, Maria (author), Silva, Eva (author), Paulo, Liliana (author), Azenha, Marta (author)
Formato: article
Idioma:eng
Publicado em: 2019
Assuntos:
Caso Clínico
Texto completo:https://revistas.rcaap.pt/anestesiologia/article/view/16415
País:Portugal
Oai:oai:ojs.revistas.rcaap.pt:article/16415
Descrição
Resumo:The authors report a rare case of iatrogenic subcutaneous cervical emphysema after lumbar epidural catheter insertion for labour analgesia. Although lumbar epidural analgesia is the gold standard in labour analgesia, some complications may occur. Subcutaneous emphysema is a rare complication following identification of the epidural space with loss-of-resistance technique with air. Being usually a self-limited condition, the treatment is conservative. Its resolution is dependent on the amount of air trapped and usually resolves in a few days. One way to avoid this complication is the use of saline solution in the loss of resistance technique for identification of the epidural space. If loss of resistance to the injection of air is to be used, it is necessary to adopt some preventive measures.    

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