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paralyzing epidural



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No. 30
Old Aug 31, 2009, 11:36 AM

Default Re: paralyzing epidural
Originally Posted by Browneyedgirl View Post
I would think the moral of the story is TRULY informed consent and indepth prenatal education including relaxation techniques.
It seems like it would also include crash general anesthesia!

For the person above who said a class on all of this was not realistic, why not? It sounds vitally important and part of being informed enough to consent.
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No. 31
from kkawrn
Old Sep 01, 2009, 02:49 PM

Default Re: paralyzing epidural
I've been a L&D nurse for 14 yrs and work in a unit with an aprox 75% epidural rate. I have never seen anyone paralyzed from an epidural. Granted, the procedure is not without risk, as are all invasive procedures. I feel fortunate that we have an excellent team of anesthesiologists, OB's and nurses.
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No. 32
from RedCell
Old Sep 01, 2009, 03:18 PM

Default Re: paralyzing epidural
Originally Posted by canoehead View Post
I know of two people who could not breath following epidural initiation. Apparently the vertebrae level between pain relief and paralyzing the diaphragm is fairly short, and especially in short women the meds can migrate the distance in rare cases. Always watch your mom like a hawk during the initial dosing and subsequent boluses.

Just a thought- I have never heard breathing paralysis mentioned in the risks when consent is obtained. I imagine people would like to know. Having a class before getting anepidural sounds great but unrealistic.
For a laboring epidural you want a sensory level at T10, in a cesarean section I will drive the sensory level up to T4. C 3,4,5 innervate the diaphragm. There is a fairly large distance between C3 and T4 (even in short people). I think more likely, what you saw was unrecognized intrathecal catheter placement and that is what led to the high level of neural blockade.
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No. 33
Old Sep 01, 2009, 08:53 PM

Default Re: paralyzing epidural
Originally Posted by fergus51 View Post
Epidurals are safer than childbirth.
Only if you are giving birth in a hospital and cared for by a doctor, is childbirth riskier than getting an epidural!!

Oh, when, oh when will we learn to let mother nature take her course??
Childbirth is a natural, normal part of life. It is NOT a pathological process that always (or even often) requires a doctor.
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