Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18420879.
- Also identified by DOI 10.1213/01.ane.0000286176.55971.f0.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
We report the case of a 13-yr-old girl scheduled for knee surgery under general anesthesia and posterior lumbar plexus block. A ventricular arrhythmia developed 15 min after local anesthetic injection. A 20% lipid emulsion was successful in converting the ventricular arrhythmia to a sinus rhythm. This is consistent with previous reports suggesting that lipid emulsion is an effective emergency treatment of local anesthetic toxicity. We recommend the immediate availability of lipid emulsion along with other emergency therapeutics in operating rooms where local anesthetics are used.
Medical subject headings
- Amides
- Anesthetics, Local
- Fat Emulsions, Intravenous
- Lidocaine
- Lumbosacral Plexus
- Nerve Block
- Resuscitation
- Tachycardia, Ventricular