Korean J Anesthesiol.  2008 Oct;55(4):490-493. 10.4097/kjae.2008.55.4.490.

Pressure sore after Cesarean section under epidural anesthesia and analgesia: Two cases report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Chungnam National University College of Medicine, Daejeon, Korea. scson@cnu.ac.kr

Abstract

Epidural anesthesia and analgesia provide a better outcome after major surgery. Several complications such as hypotension, motor block and dural puncture are well known. Epidural anesthesia and analgesia may also cause pressures sore in elderly and debilitated patients. Prolonged soft tissue compression results in discomfort and pain secondary to local ischemia in normal individuals. The presence of hypotension, hypothermia and the interruption of venous or lymphatic drainage of the lower extremities, as well as the lack of frequent repositioning, are all contributing factors to the development of pressure sore. We describe a pressure sore that occurred in two young and healthy parturients after epidural anesthesia and analgesia.

Keyword

complication; epidural anesthesia and analgesia; motor block; pressure sore

MeSH Terms

Aged
Analgesia
Anesthesia, Epidural
Cesarean Section
Drainage
Female
Humans
Hypotension
Hypothermia
Ischemia
Lower Extremity
Pregnancy
Pressure Ulcer
Punctures
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