1. Risk of acute hypotension following epidural analgesia during deep regional hyperthermia: a case report.
- Author
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van der Zee J, Hoff AM, Oudkerk M, de Kock W, van de Merwe SA, and de Jong PC
- Subjects
- Bupivacaine administration & dosage, Bupivacaine adverse effects, Female, Humans, Hyperthermia, Induced methods, Middle Aged, Neoplasm Recurrence, Local therapy, Rectal Neoplasms therapy, Analgesia, Epidural adverse effects, Hyperthermia, Induced adverse effects, Hypotension etiology
- Abstract
A potentially dangerous complication occurring during deep regional hyperthermia is described. A patient receiving epidural analgesics for pain caused by a large pelvic recurrent rectal tumour was treated by hyperthermia induced by electromagnetic radiation. The epidural infusion pump failed during heating and further analgesics were administered by bolus injections into the epidural space. Following the second bolus injection, a severe drop in arterial blood pressure was observed. The most likely multifactorial pathogenesis is discussed and measures to avoid such an event are recommended.
- Published
- 1992
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