질식분만을 위한 경막외차단후 좌욕에 의해 유발된 회음부의 열탕화상 -증례 보고-

Abstract

Epidural block is one of the most effective methods of intrapartum pain relief in current practice. This is a case of a scalding burn resulting from a sitz bath long enough after epidural block for vaginal delivery. The patient received 7 ml of 0.25% bupivacaine mixed with 1 : 300,000 epinephrine and fentanyl 50 ㎍ for epidural block. Following delivery, the patient started complaining of voiding difficulty without any motor weakness 6 hours after the epidural block occured. At that time, the patient did not feel any hot or pain sensations during the 15 minutes of unintentional hot water application for sitz bath. Consequently, an approximately 5∼10% superficial second degree burn developed on her perineal and inner thigh region. (Korean J Anesthesiol 1998; 34: 444∼447) Keyword : Anesthetics, local , bupivacaine. Anesthetic techniques , epidural. Complications , Scalding burn. Pain , labor.