Open AccessEpidural chloroprocaine bolus in emergency cesarean section-lessons learned from a near mishap
Author(s) -
Basavana Gouda Goudra,
Preet Mohinder Singh,
Maisie Jackson,
Ashish Sinha
Publication year - 2016
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.173362
Subject(s) - medicine , anesthesia , bolus (digestion) , emergency physician , epidural block , emergency department , surgery , nursing
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.