Neuraxial anesthesia for labor and delivery in a parturient with unstable cervical spine fracture

Cathleen L Peterson-Layne, Aaron J. Sandler

Research output: Contribution to journalArticle

Abstract

We report the successful anesthetic management of labor and passive second-stage delivery in a parturient requiring cervical spine stabilization with a halo. A 25-year-old, Gravida 1, Para 0 at 37 weeks of gestation, admitted for observation after a recent motor vehicle collision, required induction of labor for preeclampsia. The mode of delivery was dependent on a successful anesthetic technique for a passive second stage of labor. The injury and halo presented concerns for access to her airway and preservation of neurologic status. An epidural placed early in labor allowed for adequate analgesia, as well as sacral extension for a forceps-assisted delivery.

Original languageEnglish (US)
Pages (from-to)145-147
Number of pages3
JournalA & A case reports
Volume4
Issue number11
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

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Second Labor Stage
Anesthetics
Spine
Anesthesia
Parturition
Induced Labor
Motor Vehicles
Pre-Eclampsia
Surgical Instruments
Analgesia
Nervous System
Observation
Pregnancy
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Neuraxial anesthesia for labor and delivery in a parturient with unstable cervical spine fracture. / Peterson-Layne, Cathleen L; Sandler, Aaron J.

In: A & A case reports, Vol. 4, No. 11, 01.06.2015, p. 145-147.

Research output: Contribution to journalArticle

Peterson-Layne, Cathleen L ; Sandler, Aaron J. / Neuraxial anesthesia for labor and delivery in a parturient with unstable cervical spine fracture. In: A & A case reports. 2015 ; Vol. 4, No. 11. pp. 145-147.
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