Anaphylaxis associated with, but not caused by, extradural bupivacaine.
Identifying anaphylaxis and determining its cause during anaesthesia can be very difficult. We describe a patient who suffered a life-threatening reaction which was diagnosed originally as being caused by bupivacaine. Subsequent investigation and enquiry showed that this was not so and suggested latex as the likely true cause.
Rae
S M
SM
University Department of Anaesthesia, Ninewells Hospital, Dundee.
Milne
M K
MK
Wildsmith
J A
JA
D000328:Adult; D000707:Anaphylaxis / Q000209:etiology*; D000773:Anesthesia, Obstetrical; D000779:Anesthetics, Local; D002045:Bupivacaine; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007840:Latex / Q000009:adverse effects*; D011183:Postoperative Complications; D011247:Pregnancy
D000779:Anesthetics, Local; D007840:Latex; D002045:Bupivacaine