title: Subarachnoid block after a "top-up" dose during continuous segmental epidural analgesia in labour. A case report.
abstract: We describe a case of spinal block which developed after a second "top-up" of local anaesthetic during segmental epidural analgesia in labour. The incidence of similar cases is reviewed. The importance of aspiration and the injection of a "test" dose before every "top-up" is stressed.
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical; D002045:Bupivacaine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D013118:Spinal Cord Diseases / Q000209:etiology*; D013346:Subarachnoid Space
chemical_list: D002045:Bupivacaine