• Can J Anaesth · Sep 1998

    Case Reports

    Respiratory arrest following intrathecal injection of sufentanil and bupivacaine in a parturient.

    • S Katsiris, S Williams, B L Leighton, and S Halpern.
    • Department of Anaesthesia, Women's College Hospital, University of Toronto, Ontario, Canada.
    • Can J Anaesth. 1998 Sep 1;45(9):880-3.

    PurposeTo present a case of respiratory arrest following the use of intrathecal sufentanil and bupivacaine for combined spinal-epidural anaesthesia in a healthy labouring parturient.Clinical FeaturesA 20-yr-old term parturient received 10 micrograms sufentanil and 2.5 mg bupivacaine intrathecally as part of a combined spinal-epidural technique for labour analgesia. She had received no previous analgesics. Twenty-three minutes after the intrathecal injection she became unresponsive and suffered a respiratory arrest. Resuscitation included manual bag/mask ventilation with oxygen and intravenous naloxone.ConclusionRespiratory arrest is a rare but potentially life-threatening complication associated with the use of intrathecal opioids for labour analgesia. Vigilance in post-procedure patient monitoring is imperative.

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