Hypoglycaemic coma following epidural analgesia.
A diabetic patient who was taking an intermediate-acting insulin preparation developed sudden hypoglycaemic coma after epidural analgesia between T5 and L1. Several diagnostic possibilities are discussed. It is concluded that prophylactic intravenous infusion of glucose and small doses of local anaesthetic are always advisable in diabetic patients having epidural analgesia.
D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D048909:Diabetes Complications; D005947:Glucose / Q000627:therapeutic use; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007331:Insulin Coma / Q000188:drug therapy / Q000209:etiology*; D008297:Male
D005947:Glucose