[The association of continuous peridural anesthesia with general anesthesia. Apropos of 2 accidents].
Continuous lumbar epidural anaesthesia combined with light general anaesthesia provides optimal anaesthetic conditions to realize major lower abdominal or pelvic surgical cases. However this technique may cause haemodynamic alterations due to the important vasoplegia and to the potential myocardial toxicity of the local anaesthetics. The authors report two accidents associated with this technique, one of them with lethal outcome.
Le Borgne
S
S
Département d'Anesthésiologie, Centre hospitalier régional et universitaire, Strasbourg.
Robillart
A
A
Zeisser
M
M
Mangin
M
M
Dupeyron
J P
JP
D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D001808:Blood Vessels / Q000293:injuries*; D002045:Bupivacaine; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged
D008012:Lidocaine; D002045:Bupivacaine
Association anesthésie péridurale continue et anesthésie générale. A propos de deux accidents.