Accidental overdose of epidural bupivacaine and sufentanil.
OBJECTIVE
A case is described of an accidental high thoracic epidural infusion of 337.5 mg 0.75% bupivacaine and 180 micrograms sufentanil in less than 30 minutes. It occurred in a post-thoracotomy patient with lung cancer.


RESULTS
Severe hypotension and an extensive sensory and motor block developed. Only a mild respiratory depression was seen. The patient recovered after treatment without adverse sequelae.
Wolff
A P
AP
Institute for Anesthesiology, University of Nijmegen, The Netherlands.
Hasenbos
M A
MA
Liem
T H
TH
Gielen
M J
MJ
D000767:Anesthesia, Epidural; D002045:Bupivacaine / Q000009:adverse effects*; D062787:Drug Overdose; D005283:Fentanyl / Q000009:adverse effects / Q000031:analogs & derivatives*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017409:Sufentanil; D013908:Thoracotomy
D017409:Sufentanil; D005283:Fentanyl; D002045:Bupivacaine