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Failure of an Epinephrine Test Dose to Elicit Tachycardia after Intravascular Epidural Catheter Placement
  1. Alec G. Rooke, M.D., PH.D. and
  2. Stephen W. Bledsoe, M.D., PH.D.
  1. From the Department of Anesthesiology, University of Washington School of Medicine, Seattle, Washington


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
  • epidural
  • complications
  • convulsions
  • epidural
  • intravascular

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