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Int J Gynaecol Obstet · Oct 1999
Case ReportsShould laboring parturients with Harrington rods receive lumbar epidural analgesia?
Harrington rods are not a contraindication to epidural analgesia but do increase insertion difficulty, technique failure and complications, particularly dural puncture and subdural placement.
pearl- A M Ho, W D Ngan Kee, and D C Chung.
- Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Shatin. hoamh@hotmail.com
- Int J Gynaecol Obstet. 1999 Oct 1;67(1):41-3.
no abstract available
Notes
A case report and brief literature review examining the efficacy and complications of labor epidural analgesia in patients with Harrington rods after scoliosis surgery.
Ho, Ngan Kee & Chung reviewed 52 reported cases in the literature showing:
- Successful catheter insertion on first attempt in 47%
- Satisfactory and uncomplicated analgesia in 55%.
- Dural puncture in 4%.
- Subdural catheterization in 4%.
Lowest success rates, highest repeated-attempts and highest complication rates (DP 8%, failure 8%, poor analgesia 55%) occurred in those with a spinal surgery scar extending below the epidural insertion point.
Daniel Jolley
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