Management of Suboptimal Spinal Anesthesia During Cesarean Section

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Conference Proceeding - Restricted Access

Publication Date



We present a case of a 30-year-old female at 39 weeks and 1 day gestation who presented for Cesarean section for breech presentation. Spinal anesthesia with 1.4 mL of 0.75% bupivacaine and 8.25% dextrose was administered, and testing was performed with Allis clamp without reported pain. Following skin incision, the patient expressed feeling sharp pain in her right lower quadrant. The patient was offered general anesthesia, but she declined and agreed to proceed with the procedure, throughout which she continued to experience pain and discomfort. Here, we discuss the intraoperative management options for suboptimal spinal anesthesia during Cesarean section.


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