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Int J Obstet Anesth · Jul 1997
An unusual complication following combined spinal-epidural anaesthesia for caesarean section.
- S Ferguson, D Brighouse, and S Valentine.
- Shackleton Department of Anaesthesia, Southampton General Hospital, Southampton, UK.
- Int J Obstet Anesth. 1997 Jul 1; 6 (3): 190-3.
AbstractThe combined spinal-epidural technique is widely used in obstetric anaesthetic practice. Epidural catheter migration through a dural hole is a theoretical but rarely described complication. We report a case of acute and life-threatening respiratory depression following administration of diamorphine through an epidural catheter after a single space combined spinal-epidural technique for caesarean section. We believe this complication occurred as a result of catheter migration through a dural hole into the subdural space and rupture of the thin arachnoid layer causing massive subarachnoid blockade.
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