| Lidocaine toxicity after maternal pudendal anesthesia in a term infant with fetal distress. | |
| | |
MedLine Citation:
|
PMID: 3566884 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
There have been many reports of lidocaine toxicity especially after maternal paracervical block anesthesia. We recently treated a term infant with evidence of fetal distress who presented with symptoms of lidocaine toxicity after maternal pudendal anesthesia. The infant developed apnea and bradycardia soon after birth which responded to mechanical ventilation and epinephrine. A prolonged Q-T interval was noted on day 1 which normalized by day 3. Cord blood was assayed and revealed an elevated lidocaine level. Lidocaine toxicity has been associated with fetal distress secondary to fetal ion trapping in the presence of acidosis. Although good response to supportive therapy occurred in our patient, other methods of therapy such as exchange transfusion and treatment of seizures may be required in some cases. Awareness of this now uncommon syndrome will lead to prompt diagnosis, appropriate work-up, and management. |
| | |
Authors:
|
M E Bozynski; L B Rubarth; J A Patel |
Related Documents
:
|
6614524 - Epidural bupivacaine, chloroprocaine, or lidocaine for cesarean section--maternal and n... 1450344 - Anesthesia and analgesia for labor. 6638544 - Neonatal pattern of breathing following cesarean section: epidural versus general anest... 7484594 - The ventriculus terminalis of the spinal cord in the neonate: a normal variant on sonog... 1486054 - Facilitators and regulators: cross-cultural and methodological considerations. 15172894 - Treatment of nasal inflammation decreases the ability of subjects with asthma to condit... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: American journal of perinatology Volume: 4 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 1987 Apr |
Date Detail:
|
Created Date: 1987-05-26 Completed Date: 1987-05-26 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 164-6 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Anesthesia, Conduction* Anesthesia, Obstetrical* Female Fetal Distress / complications, therapy* Humans Infant, Newborn Lidocaine / poisoning* Male Pregnancy Prognosis Syndrome |
| Chemical | |
Reg. No./Substance:
|
137-58-6/Lidocaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Plasma and amniotic fluid prostacyclin and thromboxane in mild pregnancy-induced hypertension.
Next Document: Effect of maternal magnesium sulfate treatment on fetal heart rate variability.