| Successful resuscitation of an ASA 3 patient following ropivacaine-induced cardiac arrest. | |
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MedLine Citation:
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PMID: 17183903 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A patient with severe myocardial disease and acute-on-chronic renal failure was undergoing a brachial plexus block for formation of an arteriovenous fistula when accidental intravascular injection of ropivacaine resulted in ventricular fibrillation. Cardiopulmonary resuscitation was instituted immediately and the advanced life support algorithm was followed until the return of sinus rhythm. Although, in comparison with bupivacaine, ropivacaine appears to be a safer local anaesthetic agent in the setting of intravenous injection, the emphasis on safety should remain a priority. Awareness of the risk of central nervous system and cardiovascular toxicity and preparation for immediate commencement of resuscitation in the event of toxicity remain of paramount importance. |
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Authors:
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L P Y Khoo; A R Corbett |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 34 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-12-22 Completed Date: 2007-03-15 Revised Date: 2007-08-29 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 804-7 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Fremantle Hospital, Fremantle, Western Australia, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amides
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adverse effects* Anesthesia, Conduction / adverse effects Anesthetics, Local / adverse effects* Cardiopulmonary Resuscitation / methods* Female Health Status* Heart Arrest / chemically induced, therapy* Humans Middle Aged |
| Chemical | |
Reg. No./Substance:
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0/Amides; 0/Anesthetics, Local; 84057-95-4/ropivacaine |
| Comments/Corrections | |
Comment In:
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Anaesth Intensive Care. 2007 Jun;35(3):446; author reply 446
[PMID:
17591145
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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