Exaggerated epidural blockade resulting from unusual spread of bupivacaine in a patient with low back pain.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 1835316.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 75-year-old woman with chronic low back pain was given bupivacaine and methylprednisolone epidurally through a catheter in the L1-L2 interspace. An unusual spread of bupivacaine resulted in a block from the C4 to the L1 dermatome with no relief of back pain. Injection of a radiopaque dye and subsequent X rays showed a similar spread. The possible causes are discussed.
Medical subject headings
- Anesthesia, Epidural
- Back Pain
- Bupivacaine