Document Detail


Horner's syndrome following very low concentration bupivacaine infusion for labor epidural analgesia.
MedLine Citation:
PMID:  12770660     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Horner's syndrome is a complication of epidural analgesia and anesthesia, encountered more commonly in pregnant women than in other patients. Previous reports described the appearance of Horner's syndrome following epidural injection of concentrated local anesthetic solutions. We report unilateral Horner's syndrome occurring in the setting of lumbar epidural analgesia for labor with a very low local anesthetic concentration (bupivacaine 0.04%) in an epidural infusion. We discuss the possible factors that could have contributed to this occurrence despite the extremely dilute concentration of local anesthetic used for analgesia.
Authors:
Shobana Chandrasekhar; Robert A Peterfreund
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  15     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-28     Completed Date:  2003-09-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  217-9     Citation Subset:  IM    
Affiliation:
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Epidural / adverse effects*
Analgesia, Obstetrical / adverse effects*
Anesthetics, Local / administration & dosage,  adverse effects*
Bupivacaine / administration & dosage,  adverse effects*
Female
Horner Syndrome / etiology*
Humans
Pregnancy
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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