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Medical Pharmacology Clinical Case:  Local Anesthesia in the Perioperative Setting, Obstetrical Procedure

  • 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.

    • 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, School of Medicine, University of Kansas Medical Center