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Hypoglycaemic coma following epidural analgesia
Author(s) -
ROMANO E.,
GULLO A.
Publication year - 1980
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1980.tb05048.x
Subject(s) - medicine , coma (optics) , anesthesia , local anaesthetic , insulin , surgery , physics , optics
Summary A diabetic patient who was taking an intermediate‐acting insulin preparation developed sudden hypoglycaemic coma after epidural analgesia between T5 and L1. Several diagnostic possibilities are discussed. It is concluded that prophylactic intravenous infusion of glucose and small doses of local anaesthetic are always advisable in diabetic patients having epidural analgesia.