Epidural chloroprocaine bolus in emergency cesarean section-lessons learned from a near mishap.
Administration of a large bolus of epidural chloroprocaine to hasten the spread of anesthesia is an accepted practice during emergency cesarean section. Occasionally, this practice can result in a very high block that can compromise patient's safety. We describe a case of epidural chloroprocaine administration in a 4 point position resulting in a high dermatomal block requiring respiratory assistance. Events surrounding the case are discussed, with a view to warn the reader about the pitfalls of such a practice.
Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Basavana G
BG
Goudra
Department of Anesthesiology and Critical Care Medicine, All India Institute of Medical Sciences, New Delhi, India.
Preet Mohinder
PM
Singh
Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Maisie
M
Jackson
Department of Anesthesiology and Perioperative Medicine, Drexel University College of Medicine, Philadelphia, PA 19102, USA.
Ashish C
AC
Sinha
4 point position; chloroprocaine; epidural