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Intrathecal morphine overdose during combined spinal-epidural block for Caesarean delivery
Authors:Cannesson M  Nargues N  Bryssine B  Debon R  Boselli E  Chassard D
Affiliation:Service d’Anesthésie-Réanimation, Hôpital de l’Hôtel-Dieu, F-69002 Lyon, France
Abstract:We describe a 25 mg intrathecal morphine overdose duringa combined spinal–epidural block for a Caesarean delivery.Naloxone infusion (5.24 mg over 24 h) was startedprior to the patient becoming symptomatic and almost immediatelyafter the overdose. Invasive therapeutics such as mechanicalventilation were avoided. Br J Anaesth 2002; 89: 925–7
Keywords:anaesthetic techniques, regional   analgesics opioid, morphine   complications, overdose
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