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Epidural chloroprocaine bolus in emergency cesarean section-lessons learned from a near mishap
Journal article   Open access   Peer reviewed

Epidural chloroprocaine bolus in emergency cesarean section-lessons learned from a near mishap

Basavana G Goudra, Preet Mohinder Singh, Maisie Jackson, Ashish C Sinha and Michelle R Jackson
Journal of anaesthesiology, clinical pharmacology, v 32(2), pp 263-265
01 Jan 2016
PMID: 27275062
url
https://doi.org/10.4103/0970-9185.173362View
Published, Version of Record (VoR)CC BY-NC-SA V4.0 Open

Abstract

4 point position Case Report chloroprocaine epidural
Administration of a large bolus of epidural chloroprocaine to hasten the spread of anesthesia is an accepted practice during emergency cesarean section. Occasionally, this practice can result in a very high block that can compromise patient's safety. We describe a case of epidural chloroprocaine administration in a 4 point position resulting in a high dermatomal block requiring respiratory assistance. Events surrounding the case are discussed, with a view to warn the reader about the pitfalls of such a practice.

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