[Cerebral convulsion following peridural anesthesia with bupivacaine in cesarean section].
Maternal convulsions and severe fetal bradycardia resulted from the accidental intravascular injection of 0.5% bupivacaine for epidural anesthesia in preparation for caesarean section. Ventilation with oxygen, application of anticonvulsive drugs, relaxation and intubation was promptly performed followed by immediate caesarean section. The newborn was depressed at birth, recovered quickly and showed no neurologic deficits neither in the immediate postnatal period nor in neurobehaviour tests at the age of three months.
Knitza
R
R
Frauenklinik im Klinikum Grosshadern der LMU München.
Sirtl
C
C
Wisser
J
J
Rhein
R
R
Fischer
B
B
D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D002045:Bupivacaine / Q000008:administration & dosage / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D006340:Heart Rate, Fetal / Q000187:drug effects; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D011247:Pregnancy; D012086:Reoperation; D012640:Seizures / Q000139:chemically induced*
D002045:Bupivacaine
Zerebraler Krampfanfall nach Periduralanästhesie mit Bupivacain zur Sectio caesarea.