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Unilateral Dense Epidural Obstetric — FRCA Final MCQ

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HardObstetric AnaesthesiaUnilateral Dense Epidural ObstetricFRCA Final

Epidural in labour: dense unilateral right motor block, no left sensory block. Most likely cause?

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Correct answer: BCatheter through foramen into paravertebral space

Dense unilateral block with no contralateral spread = lateral catheter migration through intervertebral foramen into paravertebral space. LA around single root = ipsilateral-only. Withdraw 1-2 cm, rebolus, reassess. If persistent, resite.

Reference: RCOA – 2023 – Obstetric epidural troubleshooting