Related Experiment Videos
Allergic reaction to an amide local anesthetic in segmental epidural analgesia
R Erkkola1, J Kanto, J Mäenpää
1Department of Obstetrics and Gynecology, University Central Hospital, Turku, Finland.
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1988
Abstract:
A very serious case of anaphylactoid reaction to bupivacaine occurred during epidural analgesia. A rise in complement 3 activation products and a decrease in immunoglobulin E were observed, while bupivacaine toxicity was ruled out by normal serum concentration. Severe maternal hypotension, and a sudden decrease in the fetal heart rate were detected clinically. By a cesarean section, a baby girl was delivered, who at the age of 1 year appears normal.