Subject(s)
Analgesia, Epidural/methods , Analgesia, Obstetrical/methods , CADASIL/complications , Cesarean Section/adverse effects , Emergency Treatment/adverse effects , Pregnancy Complications , Adult , Bupivacaine/administration & dosage , Cesarean Section/methods , Emergency Treatment/methods , Female , Fentanyl/administration & dosage , Humans , PregnancyABSTRACT
Cardiopulmonary resuscitation has a low success rate both in and out of the hospital setting. Return of spontaneous circulation, however, is considerably higher for intraoperative cardiac arrests. Chest compressions remain of utmost importance. Optimal chest compression depth is believed to be greater than 5 cm. However, this depth is often not achieved. We describe a case in which the adequacy of chest compressions, based on hemodynamic monitoring, was achieved with 2 persons simultaneously providing a compressive force. This hemodynamic-directed care resulted in return of spontaneous circulation on 2 separate occasions.
Subject(s)
Cardiopulmonary Resuscitation/methods , Heart Arrest/therapy , Hemodynamics , Humans , Male , Treatment Outcome , Young AdultABSTRACT
We report a patient who developed a positional headache and pseudomeningocele after multiple lumbar surgeries for low back and radicular pain. An epidural blood patch via a lumbar approach was not feasible as a result of distorted lumbar anatomy after multiple back surgeries. An epidural blood patch was performed via catheter-threaded cephalad from a caudal approach. The patient had immediate relief after the procedure and at 1 year was still symptom-free. This combination technique may be considered as an alternative approach when a percutaneous lumbar epidural blood patch is disadvantageous.