title: Severe hypotension related to high negative pressure suction drainage on a thoracic epidural drain during multilevel spinal fixation.
abstract: Hypotension or bradycardia or both related to intracranial hypotension after craniotomy has been reported in the literature. However, such reports are uncommon with thoracic epidural drains. We describe a case in which application of high negative pressure suction to a thoracic epidural drain caused a sudden decrease in arterial blood pressure.
authors.affiliation: From the Departments of *Anaesthesia and Perioperative Medicine and †Neurosurgery, The Alfred Hospital, Melbourne, Australia.
authors.forename: Anjalee
authors.initials: A
authors.lastname: Brahmbhatt
authors.forename: Nicholas D P
authors.initials: ND
authors.lastname: Hall
authors.forename: William Pierre Litherland
authors.initials: WP
authors.lastname: Bradley