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Canadian Journal of Anesthesia, Vol 27, 500-501, Copyright © 1980 by Canadian Anesthesiologists' Society

The Efficacy of Bupivacaine 0.75 Per Cent as an Epidural Test Dose

A. FARGAS-BABJAK 1, J. McCHESNEY 1, and D. H. MORISON 1

1 McMaster University Medical Centre, Box 2000, Station "A", Hamilton, Ontario, L8N 3Z5

Two cases are presented in which a test dose of bupivacaine 0.75 per cent was injected before institution of an epidural block, as a safeguard against inadvertent intrathecal injection. In each case there was immediate evidence of motor and sensory blockade, which gave warning that the epidural catheter was positioned in the subarachnoid space. The experience of these two cases indicates that bupivacaine 0.75 per cent would be appropriate for use as a test dose in epidural anaesthesia.






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Copyright © 1980 by the Canadian Anesthesiologists' Society.