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Case Reports
Value and Limitations of Test Dose Prior to Epidural Anesthesia
  1. V. Soni, M.D.,
  2. C. Peeters, M.D. and
  3. B. Covino, M.D., Ph.D.
  1. From the Department of Anesthesiology University of Massachusetts Medical Center Worcester, Massachusetts
  1. Address reprint requests to Dr. Soni: Department of Anesthesiology, University of Massachusetts Medical Center, Worcester, MA 01605.

Abstract

Three illustrative cases are briefly presented to demonstrate the potential fallibility in administration of a test dose prior to epidural anesthesia. Possible mechanisms are discussed of the central nervous system or cardiovascular toxic reactions to local anesthetics that can occur even if the test dose demonstrates no alterations.

  • Case history
  • Complications
  • Epidural
  • Toxicity

https://doi.org/10.1136/rapm-00002370-198101000-00006

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