Korean J Anesthesiol.  1998 Feb;34(2):444-447. 10.4097/kjae.1998.34.2.444.

A Scalding Burn Resulting from Sitz Bath Long Enough after Epidural Block for Vaginal Delivery: A case report

• Do HW
• Kim AR
• Cheun JK

• KMID: 2236891
• DOI: http://doi.org/10.4097/kjae.1998.34.2.444

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 microgram 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.

Keyword

Anesthetics, local: bupivacaine; Anesthetic techniques: epidural; Complications: Scalding burn. Pain: labor

MeSH Terms

Baths*
Bupivacaine
Burns*
Epinephrine
Fentanyl
Humans
Sensation
Thigh
Water
Bupivacaine
Epinephrine
Fentanyl
Water