A continuous subdural block.
We describe a case of accidental subdural block, after attempted extradural puncture for Caesarean section. Fractionation of the local anaesthetic dose led to avoidance of more serious complications. Subdural fentanyl and a continuous low-dose subdural infusion were used satisfactorily for intraoperative management and postoperative analgesia. As little as 0.5 ml of bupivacaine, hourly, provided satisfactory analgesia over a 15-h period.
Department of Anaesthesia, Royal Hospital for Women, Paddington, N.S.W., Australia.
C B
CB
Collier
S P
SP
Gatt
S M
SM
Lockley
D000328:Adult; D016362:Analgesia, Obstetrical; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002045:Bupivacaine; D002585:Cesarean Section; D005260:Female; D005283:Fentanyl; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008012:Lidocaine; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control; D011247:Pregnancy; D013355:Subdural Space; D013997:Time Factors
D008012:Lidocaine; D005283:Fentanyl; D002045:Bupivacaine