A 58-year-old woman who was not taking β-adrenergic block medication had a lumbar epidural catheter placed intravascular unintentionally. Epinephrine 15 μg in 3 ml saline or 2% lidocaine caused an increase in blood pressure and a decrease in heart rate. Observation of the patient for other signs of intravascular injection besides an increase in heart rate is discussed.
- Anesthetic techniques
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