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KMID : 0363119960090010260
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Korean Journal of Pain
1996 Volume.9 No. 1 p.260 ~ p.263
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High Spinal Block following Epidural Block for Postoperative Pain Control -A case report-
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Abstract
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High spinal block is a rare complication during epidural block, but it may result in serious events. 56-year-old man with gall stones was scheduled for cholecystectomy under general anestheisa. After operation, lumbar epidural catheterization was
done
at T89 interspace for postoperative pain control. At the recovery room, initial bolus drug (0.1% bupivacaine 10 ml containing fentanyl 100㎍) wa sadministered via epidural catheter and observed carefully. 15 minutes later, hypotension and
bradycardia
ouccurred. Hartmant' solution was administered rapidly and ephedrine 5 mg was injected. 30 minutes after drug administration, loss of consciousness and respiratory arrest developed. Tracheal intubation was done immediately. Cardiovascular and
respiratory functions were monitored continuonusly. The location of intrathecal catheter was confirmed by cerebrospinal fluid (CSF) seen in syringe after aspiration of catheter. The patient recovered gradually and was placed in the ward 4 hours
after
drug administration, without any problems. He was discharged 1 week later in good health.
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KEYWORD
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