High Spinal Management During Emergency C-Section

Document Type

Conference Proceeding - Restricted Access

Publication Date



A 32 year old G2P2 woman underwent epidural placement for labor analgesia. During labor, non-reassuring fetal heart tones prompted an emergency C-section. After dosing the epidural for surgical anesthesia, the patient complained of difficulty breathing. During the transfer to the operating table she lost consciousness and was noted to have absent pulses, prompting immediate resuscitation. The patient quickly returned to consciousness but had no sensation below the neck. She was diagnosed with a high epidural block to the lower cervical level. This case discusses the signs and symptoms as well as the management for a high spinal vs a total spinal.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.