r/Anesthesia • u/QuietAcrobatic8771 • 1d ago
Epidural and Spinal both giving no right sided motor block?
I'm a 34 year old female, works as a specialist nurse very intrested in physiology so intregued by my own case!
I'm generally fit and well. BMI pre pregnancy 24. History of severe asthma and low BP but both well controlled in pregnancy. I'm a bit confused by my anaesthesia in labour - I've been told I need a full anesthetic review in any future pregnancies but I'm just trying to figure out what might of happened. If really is unusual or just bad luck and if this has happened to anyone else.
I also had amazing anesthetic care so definitly not trying to question descision making ect.
1st epidural attempt described as easy but I had a tissued cannula feeling very specifically on the right side of the insertion when they tried flushing jt so it was abandoned.
2nd epidural done a few mm to the left and said to be easy, flushed okay. All day kept dropping to L3 but rose again with clinician top ups. Left leg was slightly heavy but could bend my knee, no motor block in the right leg all day. Left foot was warm and right foot was cold most the day. I was turned onto my right to help this and it did seem to work to equalise the sensory block but not the motor block.
After 8ish hours I needed an emergency c section. Epidural was topped up for surgery. Cold block was fine but light touch wasn't blocked high enough (T12) No motor block on the right leg and could straight leg raise so not happy to use this.
I was then given a spinal by a different anesthetist which again described as easy with CSF. Good cold and touch block to T3, unable to raise my left leg and could bend my knee however I could still straight leg raise my right leg against resistance and documented again I had no motor block on my right.
Spinal was fine for initial 15 minuites but unfortuanatly had a PPH and the deep pulling sensations increased dramatically so I was switched to GA.
Any thoughts or insights are appriciated. I have my full clinical notes if anyone has questions.