Intentional Unilateral Epidural Block for Surgery in a Pregnant Patien


Okelo S MBChB,MMed,.KabugiJGMBChB,MMed,FellFell(Cardiac) Anesthesia.

Department of Anesthesiology and Critical Care Medicine, Moi Teaching & Referral Hospital, Eldoret, Kenya Correspondence to: Dr Stephen Okelo P.O. Box 833- 40123 Mega City, Kisumu, Kenya Email:



Unilateral epidural block often results inadvertently during routine epidurals. It can however be used intentionally to provide analgesia selectively to the limb being operated. We present an application of this approach used to provide surgical anaesthesia and postoperative analgesia to a patient who sustained fracture of her right femur during second trimester of pregnancy and required open reduction.



The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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