International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2009
Letter Case ReportsSpinal anaesthetic failure from an easily overlooked defect.
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Int J Obstet Anesth · Oct 2009
Randomized Controlled Trial Comparative StudyLow-dose epidural top up for emergency caesarean delivery: a randomised comparison of levobupivacaine versus lidocaine/epinephrine/fentanyl.
Levobupivacaine has a greater safety margin for cardiotoxicity than bupivacaine; consequently it has been recommended as the agent of choice for extending low-dose epidural analgesia for emergency caesarean section. We wished to compare the onset of levobupivacaine with that of a 2% lidocaine/epinephrine/fentanyl mixture. ⋯ A freshly prepared mixture of 2% lidocaine 20 mL plus epinephrine 100 mug and fentanyl 100 mug provides a more rapid onset and superior quality T7 block to touch than 0.5% levobupivacaine 20 mL.
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Int J Obstet Anesth · Oct 2009
Case ReportsFatal respiratory thermal injury following accidental administration of carbon dioxide using the circle system for a cesarean delivery.
A 37-year-old parturient underwent emergency cesarean delivery because of severe preeclampsia. After induction of general anesthesia, the oxygen saturation decreased. Volatile anesthetics were discontinued and examination of the anesthetic circuit and machine revealed a soda lime canister that was extremely hot. ⋯ The patient developed progressive respiratory failure. Bronchoscopic examination revealed burn scars from the carina to the main bronchi. The patient died within four months of the incident.