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Exaggerated epidural blockade resulting from unusual spread of bupivacaine in a patient with low back pain
Author(s) -
POPAT M. T.,
JADAD A. R.,
GLYNN C. J.
Publication year - 1991
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.1365-2044.1991.tb09602.x
Subject(s) - bupivacaine , medicine , dermatome , anesthesia , blockade , methylprednisolone , catheter , surgery , interventional pain management , local anesthetic , epidural block , pain management , receptor
Summary A 75‐year‐old woman with chronic low back pain was given bupivacaine and methylprednisolone epidurally through a catheter in the L 1 –L 2 interspace. An unusual spread of bupivacaine resulted in a block from the C 4 to the L 1 dermatome with no relief of back pain. Injection of a radiopaque dye and subsequent X rays showed a similar spread. The possible causes are discussed.