Prolonged block with recovery after extradural analgesia for labour.
نویسندگان
چکیده
A patient had a prolonged block after continuous extradural analgesia in labour. The block was unilateral, but 60 min after a second block there was bilateral sensory and motor loss. The original unblocked side did not recover fully until more than 60 hr. The local anaesthetic agent was 18 ml of bupivacine 0.5% plain.
منابع مشابه
A double-blind comparison of 0.25% ropivacaine and 0.25% bupivacaine for extradural analgesia in labour.
Ropivacaine is a new aminoamide local anaesthetic. Compared with bupivacaine, ropivacaine possesses a higher threshold for systemic toxicity and a high selectivity for sensory fibres. We have compared prospectively these two agents in a concentration of 0.25% for extradural analgesia in labour. A total of 104 parturients requesting extradural analgesia were randomized to receive either ropivaca...
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We have studied the use of clonidine combined with low doses of sufentanil and bupivacaine in 45 parturients requiring extradural analgesia for the first stage of labour, in a double-blind, randomized study. We gave 0.0625% bupivacaine 10 ml containing 1:200,000 adrenaline and sufentanil 10 micrograms (1 ml) to which was added 0.9% saline, or clonidine 100 or 150 micrograms (1 ml). We compared ...
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Forty women having requested extradural analgesia for labour were allocated randomly to receive 0.5% ropivacaine or bupivacaine 10 ml as the main dose. When a top-up was requested, 0.25% ropivacaine or bupivacaine 10 ml was given (the same drug as the main dose). The study ended when a second top-up was requested or delivery of the baby occurred. Pain from two contractions was assessed before e...
متن کاملA New Method for Providing Continuous Extradural Analgesia.
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We describe a patient who received an apparently uneventful extradural block in labour but developed rapid extension of neural block within minutes of receiving her first incremental dose 2 h later. Computed contrast tomography revealed radio-opaque dye within both the subdural and subarachnoid spaces, but none within the extradural space. This case report demonstrates that subdural spread of l...
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عنوان ژورنال:
- British journal of anaesthesia
دوره 47 4 شماره
صفحات -
تاریخ انتشار 1975