Two additional cases of excessive extension of sensory blockade after intrathecal sufentanil for labor analgesia
Combined spinal-epidural anesthesia (CSE) is an effective technique with rapid onset of labor analgesia. We describe two cases of excessive cephalad spread of sensory blockade without motor blockade in two parturients in spontaneous labor with CSE. The patients received sufentanil 5 μg intrathecally...
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| Published in: | International journal of obstetric anesthesia Vol. 9; no. 1; pp. 48 - 50 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Netherlands
Elsevier Ltd
01-01-2000
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| Online Access: | Get full text |
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| Summary: | Combined spinal-epidural anesthesia (CSE) is an effective technique with rapid onset of labor analgesia. We describe two cases of excessive cephalad spread of sensory blockade without motor blockade in two parturients in spontaneous labor with CSE. The patients received sufentanil 5 μg intrathecally with 1.25 mg bupivacaine. Spinal injection produced dyspnea and extension of sensory blockade to cervical or facial level without fetal consequences. We conclude that the risk of these side-effects previously described with the 10 μg dose persists for lower sufentanil spinal doses. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0959-289X 1532-3374 |
| DOI: | 10.1054/ijoa.1999.0342 |