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Prolonged Neural Blockade Following Caudal Epidural Block with 2-Chloroprocaine
  1. Michael C. Sheskey, MD* and
  2. Rao S. Mallampati, MD*
  1. From the Department of Anesthesiology, Brigham and Women's Hospital, Boston, Massachusetts
  2. *Instructor in Anesthesia, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.


A 37-year-old American Society of Anesthesiologists physical status I patient was given a caudal epidural block with 24 ml of 3% 2-chloroprocaine for dilatation and curettage (D & C). Although the catheter placement was uneventful, the patient developed total spinal anesthesia. After surgery, neural blockade with clinical manifestations consistent with cauda equina syndrome persisted for approximately 6 months. Literature pertinent to chloroprocaine neurotoxicity is briefly reviewed.

  • Anesthetic
  • local
  • 2-chloroprocaine
  • Anesthetic techniques
  • regional
  • caudal epidural block
  • Complications
  • prolonged neural blockade
  • cauda equina syndrome

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