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An unusual complication following combined spinal-epidural anaesthesia for caesarean section

S Ferguson1, D Brighouse, S Valentine

  • 1Shackleton Department of Anaesthesia, Southampton General Hospital, Southampton, UK.

International Journal of Obstetric Anesthesia
|July 1, 1997
PubMed

The combined spinal-epidural technique is widely used in obstetric anaesthetic practice. Epidural catheter migration through a dural hole is a theoretical but rarely described complication. We report a case of acute and life-threatening respiratory depression following administration of diamorphine through an epidural catheter after a single space combined spinal-epidural technique for caesarean section. We believe this complication occurred as a result of catheter migration through a dural hole into the subdural space and rupture of the thin arachnoid layer causing massive subarachnoid blockade.

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