Document Detail

Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child.
MedLine Citation:
PMID:  18420879     Owner:  NLM     Status:  MEDLINE    
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.
Hugues Ludot; Jean-Yves Tharin; Mohamed Belouadah; Jean-Xavier Mazoit; Jean-Marc Malinovsky
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  106     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-18     Completed Date:  2008-05-01     Revised Date:  2009-02-09    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1572-4, table of contents     Citation Subset:  AIM; IM    
Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France.
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MeSH Terms
Amides / adverse effects*,  blood
Anesthetics, Local / adverse effects*,  blood
Emergency Treatment
Fat Emulsions, Intravenous / therapeutic use*
Lidocaine / adverse effects*,  blood
Lumbosacral Plexus*
Nerve Block*
Practice Guidelines as Topic
Resuscitation / methods*
Tachycardia, Ventricular / chemically induced,  physiopathology,  therapy*
Reg. No./Substance:
0/Amides; 0/Anesthetics, Local; 0/Fat Emulsions, Intravenous; 137-58-6/Lidocaine; 84057-95-4/ropivacaine
Comment In:
Anesth Analg. 2008 May;106(5):1333-6   [PMID:  18420839 ]
Anesth Analg. 2008 May;106(5):1340-2   [PMID:  18420841 ]
Anesth Analg. 2009 Feb;108(2):669   [PMID:  19151309 ]
Anesth Analg. 2009 Feb;108(2):669   [PMID:  19151308 ]
Erratum In:
Anesth Analg. 2008 Jul;107(1):238

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

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