Low dose epidural bupivacaine/fentanyl infusion does not mask uterine rupture.
A patient is described in whom the symptoms and signs of uterine rupture were not masked by combined spinal epidural analgesia with an epidural infusion of 0.1% bupivacaine and 1.5 microg ml(-l) fentanyl. Early recognition of the dehiscence of a previous caesarean section scar resulted in an excellent neonatal and maternal outcome.
Department of Anaesthetics, The Queen's University of Belfast, The Royal Group Hospitals Trust, Belfast, Northern Ireland.
M C
MC
Kelly
D A
DA
Hill
D B
DB
Wilson