BRACHIAL PLEXUS PALSY AND HOARSENESS OF THE VOICE DURING LUMBAR EPIDURAL ANALGESIA FOR LABOR AND DELIVERY: A CAUTIONARY TALE
The lumbar epidural analgesia is one of better ways of controlling pain during labor but it still can be followed with complications and unintentional side effects. Neurologic complications of epidural analgesia are rare. We present two cases of healthy women where epidural analgesia was induced dur...
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| Veröffentlicht in: | Glasnik pulske bolnice 2011-12, Vol.8 (8), p.5 |
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| container_title | Glasnik pulske bolnice |
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| creator | Kalagac, Lada Maretić, Adriana Belci, Dragan Prenc, Milan |
| description | The lumbar epidural analgesia is one of better ways of controlling pain during labor but it still can be followed
with complications and unintentional side effects. Neurologic complications of epidural analgesia are rare.
We present two cases of healthy women where epidural analgesia was induced during active labor. Repeated intermittent
epidural doses of local anesthetics and the left lateral decubitus position of the patients induced the cephalic spread of the
anesthetic drug along the epidural space with the appearance of unilateral brachial plexus palsy and hoarseness of the voice.
These side effects disappeared spontaneously but caused anxiety in the patients and in all medical staff. Elevated control by
anesthetists is necessary in case of epidural analgesia during active labor to avoid risky complications like the high sympathetic
block. |
| format | Article |
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with complications and unintentional side effects. Neurologic complications of epidural analgesia are rare.
We present two cases of healthy women where epidural analgesia was induced during active labor. Repeated intermittent
epidural doses of local anesthetics and the left lateral decubitus position of the patients induced the cephalic spread of the
anesthetic drug along the epidural space with the appearance of unilateral brachial plexus palsy and hoarseness of the voice.
These side effects disappeared spontaneously but caused anxiety in the patients and in all medical staff. Elevated control by
anesthetists is necessary in case of epidural analgesia during active labor to avoid risky complications like the high sympathetic
block.</description><identifier>ISSN: 1845-2698</identifier><language>eng</language><publisher>Opća bolnica Pula, Znanstvena jedinica</publisher><subject>brachial plexus palsy ; epidural analgesia in obstetrics ; sympathetic block ; voice hoarseness</subject><ispartof>Glasnik pulske bolnice, 2011-12, Vol.8 (8), p.5</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,776,780,881</link.rule.ids></links><search><creatorcontrib>Kalagac, Lada</creatorcontrib><creatorcontrib>Maretić, Adriana</creatorcontrib><creatorcontrib>Belci, Dragan</creatorcontrib><creatorcontrib>Prenc, Milan</creatorcontrib><title>BRACHIAL PLEXUS PALSY AND HOARSENESS OF THE VOICE DURING LUMBAR EPIDURAL ANALGESIA FOR LABOR AND DELIVERY: A CAUTIONARY TALE</title><title>Glasnik pulske bolnice</title><description>The lumbar epidural analgesia is one of better ways of controlling pain during labor but it still can be followed
with complications and unintentional side effects. Neurologic complications of epidural analgesia are rare.
We present two cases of healthy women where epidural analgesia was induced during active labor. Repeated intermittent
epidural doses of local anesthetics and the left lateral decubitus position of the patients induced the cephalic spread of the
anesthetic drug along the epidural space with the appearance of unilateral brachial plexus palsy and hoarseness of the voice.
These side effects disappeared spontaneously but caused anxiety in the patients and in all medical staff. Elevated control by
anesthetists is necessary in case of epidural analgesia during active labor to avoid risky complications like the high sympathetic
block.</description><subject>brachial plexus palsy</subject><subject>epidural analgesia in obstetrics</subject><subject>sympathetic block</subject><subject>voice hoarseness</subject><issn>1845-2698</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqVjMEKgkAYhPdQUFTv8D9AQWaadfvV31zYdmVXI09iUSQVhZ6CHj6jXqDLzPAxMx3Wt7y5M5m5S6_HRk1T7adT27Jcx3b67OVrDGKOAhJBu8xAgsLkgDKEWKE2JMkYUBGkMcFW8YAgzDSXaxDZxkcNlPAWtHuUKNZkOEKkNAj0W_3chCT4lnS-AoQAs5QriTqHFAUNWfdUXpvj6OcDNo4oDeLJuT6Ul-JRV7eyfhb3siq-pKkPxzYWnuNaC_vP-hu_LkuZ</recordid><startdate>20111230</startdate><enddate>20111230</enddate><creator>Kalagac, Lada</creator><creator>Maretić, Adriana</creator><creator>Belci, Dragan</creator><creator>Prenc, Milan</creator><general>Opća bolnica Pula, Znanstvena jedinica</general><scope>VP8</scope></search><sort><creationdate>20111230</creationdate><title>BRACHIAL PLEXUS PALSY AND HOARSENESS OF THE VOICE DURING LUMBAR EPIDURAL ANALGESIA FOR LABOR AND DELIVERY: A CAUTIONARY TALE</title><author>Kalagac, Lada ; Maretić, Adriana ; Belci, Dragan ; Prenc, Milan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-hrcak_primary_oai_hrcak_srce_hr_856173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>brachial plexus palsy</topic><topic>epidural analgesia in obstetrics</topic><topic>sympathetic block</topic><topic>voice hoarseness</topic><toplevel>online_resources</toplevel><creatorcontrib>Kalagac, Lada</creatorcontrib><creatorcontrib>Maretić, Adriana</creatorcontrib><creatorcontrib>Belci, Dragan</creatorcontrib><creatorcontrib>Prenc, Milan</creatorcontrib><collection>Hrcak: Portal of scientific journals of Croatia</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kalagac, Lada</au><au>Maretić, Adriana</au><au>Belci, Dragan</au><au>Prenc, Milan</au><format>book</format><genre>document</genre><ristype>GEN</ristype><atitle>BRACHIAL PLEXUS PALSY AND HOARSENESS OF THE VOICE DURING LUMBAR EPIDURAL ANALGESIA FOR LABOR AND DELIVERY: A CAUTIONARY TALE</atitle><jtitle>Glasnik pulske bolnice</jtitle><date>2011-12-30</date><risdate>2011</risdate><volume>8</volume><issue>8</issue><spage>5</spage><pages>5-</pages><issn>1845-2698</issn><abstract>The lumbar epidural analgesia is one of better ways of controlling pain during labor but it still can be followed
with complications and unintentional side effects. Neurologic complications of epidural analgesia are rare.
We present two cases of healthy women where epidural analgesia was induced during active labor. Repeated intermittent
epidural doses of local anesthetics and the left lateral decubitus position of the patients induced the cephalic spread of the
anesthetic drug along the epidural space with the appearance of unilateral brachial plexus palsy and hoarseness of the voice.
These side effects disappeared spontaneously but caused anxiety in the patients and in all medical staff. Elevated control by
anesthetists is necessary in case of epidural analgesia during active labor to avoid risky complications like the high sympathetic
block.</abstract><pub>Opća bolnica Pula, Znanstvena jedinica</pub><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1845-2698 |
| ispartof | Glasnik pulske bolnice, 2011-12, Vol.8 (8), p.5 |
| issn | 1845-2698 |
| language | eng |
| recordid | cdi_hrcak_primary_oai_hrcak_srce_hr_85617 |
| source | EZB-FREE-00999 freely available EZB journals |
| subjects | brachial plexus palsy epidural analgesia in obstetrics sympathetic block voice hoarseness |
| title | BRACHIAL PLEXUS PALSY AND HOARSENESS OF THE VOICE DURING LUMBAR EPIDURAL ANALGESIA FOR LABOR AND DELIVERY: A CAUTIONARY TALE |
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