TY - JOUR
T1 - Epidural analgesia for treatment of a sickle cell crisis during pregnancy
AU - Winder, Abigail D.
AU - Johnson, Stacie
AU - Murphy, Jamie
AU - Ehsanipoor, Robert M.
PY - 2011/8
Y1 - 2011/8
N2 - BACKGROUND: More than 50% of obstetric patients with sickle cell disease will have a pain crisis during pregnancy, and the management of these cases can be challenging. CASE: A 20-year-old African American with sickle cell disease presented at 29 4/7 weeks of gestation with severe, debilitating leg and back pain. Large doses of intravenous narcotics did not result in significant pain relief, so a lumbar epidural was placed. This resulted in complete pain relief within several minutes. The patient's symptoms resolved over several days and after a short course of narcotics she was discharged to home, and the remainder of her pregnancy was uncomplicated. CONCLUSION: Epidural anesthesia should be considered as a potentially effective treatment for a severe sickle cell crisis in obstetric patients.
AB - BACKGROUND: More than 50% of obstetric patients with sickle cell disease will have a pain crisis during pregnancy, and the management of these cases can be challenging. CASE: A 20-year-old African American with sickle cell disease presented at 29 4/7 weeks of gestation with severe, debilitating leg and back pain. Large doses of intravenous narcotics did not result in significant pain relief, so a lumbar epidural was placed. This resulted in complete pain relief within several minutes. The patient's symptoms resolved over several days and after a short course of narcotics she was discharged to home, and the remainder of her pregnancy was uncomplicated. CONCLUSION: Epidural anesthesia should be considered as a potentially effective treatment for a severe sickle cell crisis in obstetric patients.
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U2 - 10.1097/AOG.0b013e3182267e58
DO - 10.1097/AOG.0b013e3182267e58
M3 - Article
C2 - 21768865
AN - SCOPUS:79961041008
SN - 0029-7844
VL - 118
SP - 495
EP - 497
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 2 PART 2
ER -