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Low dose epidural bupivacaine/fentanyl infusion does not mask uterine rupture.

A patient is described in whom the symptoms and signs of uterine rupture were not masked by combined spinal epidural analgesia with an epidural infusion of 0.1% bupivacaine and 1.5 microg ml(-l) fentanyl. Early recognition of the dehiscence of a previous caesarean section scar resulted in an excellent neonatal and maternal outcome.[1]

References

  1. Low dose epidural bupivacaine/fentanyl infusion does not mask uterine rupture. Kelly, M.C., Hill, D.A., Wilson, D.B. International journal of obstetric anesthesia. (1997) [Pubmed]
 
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