scholarly journals Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report

2016 ◽  
Vol 69 (6) ◽  
pp. 632 ◽  
Author(s):  
Stefano Catarci ◽  
Fabio Sbaraglia ◽  
Bruno Antonio Zanfini ◽  
Salvatore Vagnoni ◽  
Luciano Frassanito ◽  
...  
2010 ◽  
Vol 59 (Suppl) ◽  
pp. S150
Author(s):  
Kwang Suk Shim ◽  
Eun Ju Kim ◽  
Ji Hyang Lee ◽  
Sang Gon Lee ◽  
Jong Seouk Ban ◽  
...  

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 


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