Hgw. Paw, HORNERS-SYNDROME FOLLOWING LOW-DOSE EPIDURAL INFUSION FOR LABOR - A CAUTIONARY TALE, European journal of anaesthesiology, 15(1), 1998, pp. 110-111
While Horner's syndrome is a rare and occasionally reported complicati
on of epidural 'top-ups' administered for labour and Caesarean deliver
y, the case reported here followed a low-dose epidural infusion of bup
ivacaine. Low-dose epidural infusions have generally been regarded as
a safer alternative to bolus doses in labour. It is also the case that
close supervision is deemed unnecessary in some centres where the mot
her is receiving such an epidural infusion. this case is reported in o
rder to highlight the potential dangers of a low-dose regime which in
spite of the lack of early warning signs may be associated with a high
block.