Horner’s Syndrome Following Very Low Concentration Bupivacaine Infusion for Labor Epidural Analgesia

Horner’s syndrome is a complication of epidural analgesia and anesthesia, encountered more commonly in pregnant women than in other patients. Previous reports described the appearance of Horner’s syndrome following epidural injection of concentrated local anesthetic solutions. We report unilateral H...

Full description

Saved in:
Bibliographic Details
Published inJournal of clinical anesthesia Vol. 15; no. 3; pp. 217 - 219
Main Authors Chandrasekhar, Shobana, Peterfreund, Robert A
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2003
Elsevier Science
Elsevier Limited
Subjects
Adult
Analgesia, Epidural - adverse effects
Analgesia, Obstetrical - adverse effects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - administration & dosage
Anesthetics, Local - adverse effects
Biological and medical sciences
Blood pressure
Bupivacaine - administration & dosage
Bupivacaine - adverse effects
Childbirth & labor
Female
Horner Syndrome - etiology
Horner’s syndrome
Humans
labor epidural analgesia
Local anesthesia. Pain (treatment)
local anesthetics
Medical sciences
Pain
Pregnancy
labor epidural analgesia
Horner’s syndrome
local anesthetics
Human
Nervous system diseases
Low dose
Labor
Local anesthetic
Case study
Analgesia
Eye disease
Regional anesthesia
Bupivacaine
Pain
Extradural administration
Diseases of the autonomic nervous system
Ophthalmoplegia
Complication
Female
Claude Bernard Horner syndrome
Organic amide
Delivery
Oculomotor syndrome
Anilide
Online AccessGet full text

Cover

More Information
Summary:Horner’s syndrome is a complication of epidural analgesia and anesthesia, encountered more commonly in pregnant women than in other patients. Previous reports described the appearance of Horner’s syndrome following epidural injection of concentrated local anesthetic solutions. We report unilateral Horner’s syndrome occurring in the setting of lumbar epidural analgesia for labor with a very low local anesthetic concentration (bupivacaine 0.04%) in an epidural infusion. We discuss the possible factors that could have contributed to this occurrence despite the extremely dilute concentration of local anesthetic used for analgesia.
ISSN:0952-8180
1873-4529
DOI:10.1016/S0952-8180(03)00017-5