Document Detail


Death potentially secondary to sub-Tenon's block.
MedLine Citation:
PMID:  17223811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 82-year-old ASA 2 patient underwent routine sub-Tenon's block for cataract surgery. One minute after injection of the local anaesthetic, the patient had a generalised tonic-clonic seizure and developed refractory ventricular fibrillation; subsequent resuscitation was unsuccessful. With no evidence for intravascular injection, the lack of structural brain abnormalities, and the most striking feature on post mortem examination being severe triple vessel coronary artery disease, it was concluded that this was primarily cardiac in origin; however, the possibility of brainstem anaesthesia should also be considered.
Authors:
C L Quantock; T Goswami
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  62     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-16     Completed Date:  2007-02-27     Revised Date:  2007-09-10    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  175-7     Citation Subset:  AIM; IM    
Affiliation:
Eastbourne District General Hospital, Eastbourne, UK. drchrisq@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Anesthesia, Local / adverse effects*
Anesthetics, Local / adverse effects
Cataract Extraction*
Fatal Outcome
Female
Heart Arrest / chemically induced*
Humans
Intraoperative Complications*
Seizures / chemically induced
Ventricular Fibrillation / chemically induced
Chemical
Reg. No./Substance:
0/Anesthetics, Local
Comments/Corrections
Comment In:
Anaesthesia. 2007 May;62(5):531   [PMID:  17448075 ]
Anaesthesia. 2007 Aug;62(8):856-7   [PMID:  17635450 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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