After taking informed consent of the patient, epidural anaesthesia
was instituted, and various parameters of the block were observed in the intra and post-operative periods.
In our patient we suspect there was a puncture of the dura during epidural anaesthesia
which led to air being trapped and siphoned upwards in an inverted soda bottle fashion.
Baseline measurement was performed after the patients received prehydration with 500 mL normal saline and before initiating the administration of epidural anaesthesia
. The second measurement was performed 25 minutes after the administration of epidural anaesthesia
The results of our study demonstrated that the epidural anaesthesia
remained to be the gold standard in achieving a postcaesarean analgesia because of relatively higher levels of patient satisfaction, lower postoperative VAS scores, and the lower amount of analgesic medications needed in the postoperative period.
Table 1 describes the previous reported cases of unilateral vocal cord palsy secondary to spinal or epidural anaesthesia
Comparison of 0.75% ropivacaine and 0.5% bupivacaine for epidural anaesthesia
in lower extremity orthopaedic surgeries.
The survey targeted one hundred patients each who received spinal anaesthesia and epidural anaesthesia
. The time from anaesthesia to surgical incision (A to S time), entire anaesthesia time, and the usage of vasopressor and midazolam were compared according to anaesthetic approach.
Two groups of 30 patients each received single-shot epidural anaesthesia
either with ropivacaine 0.5% (ropivacaine group) or bupivacaine 0.5% (bupivacaine group).
Before handling the case epidural anaesthesia
(Xylocaine @1.0 ml) was given between 1st and 2nd coccygeal vertebreae.
The rectal temperature, heart and respiration rate, induction time, duration of surgery and pneumoperitoneum, and total duration of epidural anaesthesia
were also recorded.
Unilateral block has been reported after epidural Anaesthesia
(1,2) but is rarely seen following spinal Anaesthesia (3).
is associated with a high degree of satisfaction among patients because it does not cause impairment of balance and can give the woman more mobility than other methods of childbirth pain medications (Comparative Obstetric Mobile Epidural Trial Study Group, 2002).