Reactions 890 - 23 Feb 2002

Bupivacaine

Urinary and faecal incontinence followingintrathecal administration: case report

Urinary and faecal incontinence occurred in a 15-year-oldboy following intrathecal administration of bupivacaine[‘Marcaıne’] for anaesthesia during bilateral arthroscopy of theknees.

The boy received hyperbaric bupivacaine 15mg (3ml)injected at the L3–L4 level. Surgery proceeded uneventfullyand the motor block was reversed 3–4 hours later. Thefollowing morning, he experienced urinary and faecalincontinence. His bowel dysfunction resolved the same dayand his bladder dysfunction resolved in 2 weeks.Mardirosoff C, et al. Bowel and bladder dysfunction after spinal bupivacaine.Anesthesiology 95: 1306, Nov 2001 - France 800892089

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Reactions 23 Feb 2002 No. 8900114-9954/10/0890-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved