Utilization of epidural volume extension technique for external cephalic version

Hanna Hussey; James Damron; Mark F Powell; Michelle Tubinis

doi:10.1080/08998280.2021.1878870

Utilization of epidural volume extension technique for external cephalic version

Proc (Bayl Univ Med Cent). 2021 Feb 2;34(3):422-423. doi: 10.1080/08998280.2021.1878870.

Authors

Hanna Hussey¹, James Damron¹, Mark F Powell¹, Michelle Tubinis¹

Affiliation

¹ Department of Anesthesiology and Perioperative Medicine, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.

Abstract

External cephalic version (ECV) has been successfully utilized to reduce breech presentations at term and offers an alternative to elective cesarean delivery. Unfortunately, there is not a consensus on which type of regional anesthesia conveys the highest chances for a successful ECV. This case report describes the use of the epidural volume extension technique to provide surgical anesthesia for ECV with a reduced dose of local anesthetic, with the goals of minimizing motor block and hypotension in the setting of an outpatient procedure.

Keywords: Epidural volume extension; external cephalic version; obstetric anesthesia; regional anesthesia.

Publication types

Case Reports