Successful resuscitation following ropivacaine-induced systemic toxicity in a neonate.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20645946.
- Also identified by DOI 10.1111/j.1365-2044.2010.06449.x.
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Abstract
A 5-week-old preterm infant was scheduled for inguinal hernia repair. Following induction of general anaesthesia, 10 mg.kg(-1) ropivacaine was injected, accidently, into the caudal space. The infant developed cardiac depression with bradycardia (minimum heart rate 50 beats.min(-1) ), elevated T waves and widening of QRS complexes. Resuscitation by means of external chest compression, intravenous adrenaline and fluid administration was successful. Ropivacaine serum concentrations were obtained at three time points yielding a peak level of 6 μg.ml(-1) 20 min after caudal injection.
Medical subject headings
- Amides
- Anesthetics, Local
- Cardiac Output, Low
- Cardiopulmonary Resuscitation