Journal of the Mississippi State Medical Association
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J Miss State Med Assoc · Oct 2001
Intentional puncture of the dural space as an aid to epidural placement in a morbidly obese parturient.
In this case report the authors discuss a technique occasionally employed at their institution to aid in identification of the epidural space in morbidly obese parturients. ⋯ In selected patients, intentional puncture of the dura can aid in confirmation of the epidural space.
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Clonidine is a central acting a2-agonist used primarily as an antihypertensive agent. Recently, it has been used for the treatment of attention deficit hyperactivity disorder in children and adolescents. When taken in excess, it can produce profound CNS depression, apnea, bradycardia and hypotension. ⋯ The CNS depression sometimes responds to naloxone. Young children are very sensitive to the toxic effects of clonidine. A case of an 11 year old adolescent who took an overdose of his clonidine is described to illustrate the toxicity of this agent.