A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient
High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to spe...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2016/3064373 |
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| author | John C. Coffman Kasey Fiorini Meghan Cook Robert H. Small |
| author_facet | John C. Coffman Kasey Fiorini Meghan Cook Robert H. Small |
| author_sort | John C. Coffman |
| collection | DOAJ |
| description | High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient that remained hemodynamically stable and had the preserved ability to initiate breaths despite sensory blockade up to C2. The presence of differential motor and sensory block documented in this case helped enable the patient to be managed with noninvasive ventilatory support until the high blockade regressed and we are not aware of any other similar reports in literature. |
| format | Article |
| id | doaj-art-f37411d863ef4ae1b333f5ec3ddfe55b |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-f37411d863ef4ae1b333f5ec3ddfe55b2025-02-03T01:24:05ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/30643733064373A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric PatientJohn C. Coffman0Kasey Fiorini1Meghan Cook2Robert H. Small3Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USAHigh neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient that remained hemodynamically stable and had the preserved ability to initiate breaths despite sensory blockade up to C2. The presence of differential motor and sensory block documented in this case helped enable the patient to be managed with noninvasive ventilatory support until the high blockade regressed and we are not aware of any other similar reports in literature.http://dx.doi.org/10.1155/2016/3064373 |
| spellingShingle | John C. Coffman Kasey Fiorini Meghan Cook Robert H. Small A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient Case Reports in Anesthesiology |
| title | A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient |
| title_full | A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient |
| title_fullStr | A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient |
| title_full_unstemmed | A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient |
| title_short | A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient |
| title_sort | rare case of c2 sensory blockade with preserved phrenic nerve function in an obstetric patient |
| url | http://dx.doi.org/10.1155/2016/3064373 |
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