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Two additional cases of excessive extension of sensory blockade after intrathecal sufentanil for labor analgesia.

Authors
Type
Published Article
Journal
International Journal of Obstetric Anesthesia
0959-289X
Publisher
Elsevier
Publication Date
Volume
9
Issue
1
Pages
48–50
Identifiers
PMID: 15321107
Source
Medline
License
Unknown

Abstract

Combined spinal-epidural anesthesia (CSE) is an effective technique with rapid onset of labor analgesia. We describe two cases of excessive cephalad spread of sensory blockade without motor blockade in two parturients in spontaneous labor with CSE. The patients received sufentanil 5 microg intrathecally with 1.25 mg bupivacaine. Spinal injection produced dyspnea and extension of sensory blockade to cervical or facial level without fetal consequences. We conclude that the risk of these side-effects previously described with the 10 microg dose persists for lower sufentanil spinal doses.

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