Combined spinal epidural anaesthesia in a case of primigravida with coarctation of aorta with severe hypertension for elective lower segment caesarean section

598 Indian Journal of Anaesthesia | Volume 61 | Issue 7 | July 2017 appear until after discharge.[2,5] It is, therefore, crucial to ensure that patients are informed and understand the early signs of epidural infection and report immediately. An information card explaining early signs of infection, instructions and emergency contact telephone numbers should be issued. The favourable neurological outcome in this case was linked to prompt reporting and timely intervention. We conclude that patient information regarding early symptoms of epidural abscess is essential and must be a part of pain protocols in institutes offering epidural analgesia.