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September 10, 2025Reports — Medical Cases Images and VideosOpen Access

Is Spinal Analgesia or Anesthesia Safe After Labor Epidural Analgesia? Reporting Two Cases of High Neuraxial Block and Mini-Review of the Literature

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Authors

AUArsen UvelinUniversity of Novi SadMCMarijana Cavrić-DragičevićUniversity of Novi SadBPBorislava PujićKlinički centar Vojvodine

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Implication

Case reports highlight risks of high neuraxial block in parturients with epidural analgesia, suggesting careful approach.

Key Points

  • Unexpected high neuraxial block can occur in parturients receiving epidural analgesia, indicating potential risks.
  • Case presentations of two parturients demonstrate that even low doses of local anesthetic can lead to high neuraxial block.
  • Volume effect from epidural administration was identified as a significant factor contributing to high neuraxial block occurrences.
  • Intrathecal administration of local anesthetic poses risks even in standard procedures, warranting caution during administration.

Cite This Study

Uvelin et al. (2025) studied this question.

synapsesocial.com/papers/68c1b19954b1d3bfb60e8fachttps://doi.org/10.3390/reports8030129
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of impact of epidural volume extension on the quality of spinal anaesthesia in patients undergoing proximal femoral nailing surgeries – randomized controlled study2023 · 2 citations
  2. 2Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists2024 · 46 citations
  3. 3Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial2017 · 37 citations