Problems associated with epidural anesthesia in obstetrics

Toxic reactions to bupivacaine and 2-chloroprocaine recently have been reported in parturients receiving epidural analgesia. Neurotoxicity has occurred after the accidental subarachnoid injection of large doses of 2-chloroprocaine. Cardiac arrest and death have occurred after the accidental intravas...

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Bibliographic Details
Published inObstetrics and gynecology (New York. 1953) Vol. 65; no. 6; p. 837
Main Authors Corke, B C, Spielman, F J
Format Journal Article
LanguageEnglish
Published United States 01.06.1985
Subjects
Anesthesia, Epidural - adverse effects
Anesthesia, Epidural - methods
Anesthesia, Obstetrical - adverse effects
Anesthesia, Obstetrical - methods
Bupivacaine - adverse effects
Female
Humans
Injections, Spinal
Pregnancy
Procaine - adverse effects
Procaine - analogs & derivatives
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Summary:Toxic reactions to bupivacaine and 2-chloroprocaine recently have been reported in parturients receiving epidural analgesia. Neurotoxicity has occurred after the accidental subarachnoid injection of large doses of 2-chloroprocaine. Cardiac arrest and death have occurred after the accidental intravascular injection of bupivacaine. Obstetricians should be aware of these hazards and how to avoid them by the use of proper technique.
ISSN:0029-7844