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high spinal

European Journal of Anaesthesiology (1)

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High spinal block following an inadequate continuous spinal anaesthetic
M. G. Serpell
Journal:

European Journal of Anaesthesiology / Volume 13 / Issue 5 / May 1996

Published online by Cambridge University Press:

04 August 2006, pp. 530-533

Print publication:

May 1996
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A patient is presented who obtained only an L1 sensory block, which was inadequate for her procedure, from continuous spinal anaesthesia despite appropriate doses of 0.5% plain bupivacaine. She then developed a high spinal block after an epidural was sited and a test dose given in the sitting position. The possible mechanisms for this are discussed.