CONVULSIONS ASSOCIATED WITH EPIDURAL ANALGESIA DURING SEVOFLURANE ANESTHESIA

A three-year-old girl who underwent an operation for adrenal neuroblas toma was anaesthetized with sevoflurane and epidural analgesia. In the immediate recovery period she had convulsions. The convulsions were s uccessfully treated with thiopentone and sevoflurane, there were no ne urological sequelae. The convulsions were considered to be a manifesta tion of mepivacaine toxicity because of a high plasma mepivacaine conc entration. Complications of paediatric regional analgesia and manifest ations of mepivacaine toxicity under sevoflurane anaesthesia are discu ssed.