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Lumbar Epidural Anesthesia Initiated in the Knee-chest Position
  1. Philip D. Bamberger, M.D.* and
  2. David J. Birnbach, M.D.**
  1. From St. Luke's/Roosevelt Hospital and Columbia University College of Physicians and Surgeons, New York, New York
  2. *Attending Anesthesiologist, St. Luke's/Roosevelt Hospital
  3. **Director of Obstetric Anesthesiology, St. Luke's/Roosevelt Hospital, and Assistant Professor of Clinical Anesthesia and Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons


The knee-chest position may become necessary in labor to mitigate fetal heart rate decelerations. This position may also prove advantageous for initiation of lumbar epidural anesthesia. This case report demonstrates a clinical situation in which lumbar epidural anesthesia was initiated in the knee-chest position. A description of the technique is included.

  • Lumbar epidural anesthesia
  • knee-chest position

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