A continuous subdural block

Br J Anaesth. 1993 Apr;70(4):462-5. doi: 10.1093/bja/70.4.462.

Abstract

We describe a case of accidental subdural block, after attempted extradural puncture for Caesarean section. Fractionation of the local anaesthetic dose led to avoidance of more serious complications. Subdural fentanyl and a continuous low-dose subdural infusion were used satisfactorily for intraoperative management and postoperative analgesia. As little as 0.5 ml of bupivacaine, hourly, provided satisfactory analgesia over a 15-h period.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesia, Obstetrical*
  • Anesthesia, Epidural*
  • Anesthesia, Obstetrical*
  • Bupivacaine
  • Cesarean Section
  • Female
  • Fentanyl
  • Humans
  • Hypotension / etiology
  • Lidocaine
  • Nerve Block
  • Pain, Postoperative / prevention & control
  • Pregnancy
  • Subdural Space
  • Time Factors

Substances

  • Lidocaine
  • Fentanyl
  • Bupivacaine