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Year : 2016  |  Volume : 32  |  Issue : 2  |  Page : 263-265

Epidural chloroprocaine bolus in emergency cesarean section-lessons learned from a near mishap

1 Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
2 Department of Anesthesiology and Critical Care Medicine, All India Institute of Medical Sciences, New Delhi, India
3 Department of Anesthesiology and Perioperative Medicine, Drexel University College of Medicine, Philadelphia, PA 19102, USA

Correspondence Address:
Basavana G Goudra
Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania and Perleman Scholl of Medicine, 680 Dulles, 3400 Spruce Street, Philadelphia, PA 19104
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9185.173362

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Administration of a large bolus of epidural chloroprocaine to hasten the spread of anesthesia is an accepted practice during emergency cesarean section. Occasionally, this practice can result in a very high block that can compromise patient's safety. We describe a case of epidural chloroprocaine administration in a 4 point position resulting in a high dermatomal block requiring respiratory assistance. Events surrounding the case are discussed, with a view to warn the reader about the pitfalls of such a practice.

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