• A 32 year-old woman was scheduled for a repeat cesarean section.
• She was about 20 kg overweight, and was chosen to receive a spinal block.
• About 14 mg of tetracaine were estimated to produce analgesia to a sensory level of T4.
•  The baby was of unusually large size, and episodes of fetal bradycardia occurred.

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• case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
• case editor: Michael Gordon, Ph.D. Associate Professor of Pharmacology and Surgery, School of Medicine, Department of Pharmacology, University of Kansas Medical Center

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