Subarachnoid spread of epidural local anaesthetic following dural puncture.
A case is described of an extensive block and hypotension which occurred after inadvertent dural puncture and subsequent epidural injection of bupivacaine. The subarachnoid spread of solution from the extradural space was confirmed radiologically.
Leach
A
A
Department of Anaesthetics, St. George's Hospital, London.
Smith
G B
GB
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D002045:Bupivacaine / Q000494:pharmacology; D004388:Dura Mater / Q000293:injuries*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D011247:Pregnancy; D011859:Radiography; D013116:Spinal Cord / Q000000981:diagnostic imaging; D013346:Subarachnoid Space
D002045:Bupivacaine