Epidural Anaesthesia & Analgesia For Severely Cardiac Compromised Patient With Pregnancy

Abstract

InroductionEpidural administration is a medical route of administration in which a drug or contrast agent injected into the epidural space of the spinal cord. Techniques such as epidural anaesthesia and epidural analgesia employ this route for administration. Epidural techniques frequently involve injection of drugs through a catheter placed into the epidural space. The injection can result in a loss of sensation of pain by blocking the transmission of signals through nerve fibers near the spinal cord. Epidural anaesthesia is a safer technique then SAB (Sub Arachnoid Block) which causes profound hypotension and may cause PDPH (Post Dural Puncture Headache). Post-operative analgesia can also be maintained through epidural catheter. With all adequate aseptic precaution L3-L4 space was identified and marked. 40mg of 2% Lignocaine was infiltred. 18G Epidural (Tuohy) needle was introduced, piercing the skin and subcutaneous tissue, reaching the epidural space and confirmed by the introduction of air through epidural needle, loss of resistance was found. Then epidural catheter was introduced through epidural tuohy needle. A bolus dose of bupivacaine 0.5% (10ml) 50mg with Lignocaine 2% (5ml) 100mg and 50 microgram of fentanyl was given through the epidural catheter. Case Report Abstract