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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.
|Glasgow Author(s) Enlighten ID:||Serpell, Dr Michael|
|College/School:||College of Medical Veterinary and Life Sciences > School of Medicine|
|Journal Name:||European Journal of Anaesthesiology|
|Published Online:||4 August 2006|