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Canadian Journal of Anesthesia, Vol 36, 701-704, Copyright © 1989 by Canadian Anesthesiologists' Society

ARTICLES

Epidural anaesthesia for caesarean section in patients with active recurrent genital herpes simplex infections: a retrospective review

ET Crosby, SH Halpern and SH Rolbin
Department of Anaesthesia & Women's College Hospital, Toronto, Ontario.

The safety of epidural anaesthesia in patients with active, recurrent genital herpes simplex (HSV) infections is controversial. We reviewed the six-year experience of the use of epidural anaesthesia in this patient population in two institutions. Eighty-nine parturients with active genital HSV were administered epidural anaesthesia for Caesarean section. No patient suffered an adverse outcome related to either the anaesthetic or the virus. The theoretical risks of regional anaesthesia in the parturient with active herpes genitalis are reviewed. We conclude from available data that the risk of an adverse outcome is small and does not contraindicate the use of epidural anaesthesia in patients with recurrent infection.




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Copyright © 1989 by the Canadian Anesthesiologists' Society.