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Accidental overdose of epidural bupivacaine and sufentanil
A P Wolff1, M A Hasenbos, T H Liem
1Institute for Anesthesiology, University of Nijmegen, The Netherlands.
Abstract
Background And Objectives:
A case is described of an accidental high thoracic epidural infusion of 337.5 mg 0.75% bupivacaine and 180 micrograms sufentanil in less than 30 minutes. It occurred in a post-thoracotomy patient with lung cancer.
Results:
Severe hypotension and an extensive sensory and motor block developed. Only a mild respiratory depression was seen. The patient recovered after treatment without adverse sequelae.