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Author Topic: Segmenta block  (Read 3588 times)

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yogenbhatt1

  • Yogen Bhatt, Mumbai, India
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Segmenta block
« on: May 25, 2007, 12:21:59 PM »
How oftern one encounters a segmental block in Epidural.
One of my patient recently was given Epidural Labour Analgesia. She did very well and was very comfortable till she was taken up for a section. She was a qualified nurse. She had pain on incision only on the right side of midline, with a total lack of action of block. The left side was perfect. Another for a Vag Hyst, same way only one side acted. Second no action at all.
Any light on this issue? Any suggestions to improve the block?
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jafo1964

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Re: Segmenta block
« Reply #1 on: May 31, 2007, 02:34:23 AM »
rarely epidural spaces maybe separated by spta much like the caudal space in adults
What is more common is the sparing of the L5 segemnt.
This nerve root is extremely large in some individuals and is difficult to block by epidural drugs in teh ususal concentration.
This may produce sparing of the segmental distribution producing breakthrough pain
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