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Utilization of epidural volume extension technique for external cephalic version

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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… Click to show full abstract

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: volume extension; external cephalic; epidural volume; cephalic version; extension technique

Journal Title: Baylor University Medical Center Proceedings
Year Published: 2021

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