| Literature DB >> 19111229 |
L Coleman1, B Carvalho, S Lipman, C Schmiesing, E Riley.
Abstract
A laboring woman was accidentally given 45 microg of sufentanil intrathecally in the course of combined spinal-epidural analgesia. She experienced intense pruritus and transient swallowing difficulty without respiratory depression, but still had incomplete pain relief, with delivery and episiotomy repair requiring additional analgesia. This case highlights the importance of adding local anesthetic to intrathecal opioids to facilitate effective analgesia during the second stage of labor. The contributory systems issues and multiple factors that allowed this error to occur are examined.Entities:
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Year: 2009 PMID： 19111229 DOI： 10.1016/j.ijoa.2008.10.001
Source DB: PubMed Journal: Int J Obstet Anesth ISSN： 0959-289X Impact factor: 2.603