title: Accidental overdose of epidural bupivacaine and sufentanil.
abstract: 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.
authors.affiliation: Institute for Anesthesiology, University of Nijmegen, The Netherlands.
authors.forename: A P
authors.initials: AP
authors.lastname: Wolff
authors.forename: M A
authors.initials: MA
authors.lastname: Hasenbos
authors.forename: T H
authors.initials: TH
authors.lastname: Liem
authors.forename: M J
authors.initials: MJ
authors.lastname: Gielen
mesh_terms: 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
chemical_list: D017409:Sufentanil; D005283:Fentanyl; D002045:Bupivacaine