| Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child. | |
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MedLine Citation:
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PMID: 18420879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hugues Ludot; Jean-Yves Tharin; Mohamed Belouadah; Jean-Xavier Mazoit; Jean-Marc Malinovsky |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 106 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-18 Completed Date: 2008-05-01 Revised Date: 2009-02-09 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1572-4, table of contents Citation Subset: AIM; IM |
Affiliation:
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Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Amides / adverse effects*, blood Anesthetics, Local / adverse effects*, blood Electrocardiography Emergency Treatment Fat Emulsions, Intravenous / therapeutic use* Female Humans Lidocaine / adverse effects*, blood Lumbosacral Plexus* Nerve Block* Practice Guidelines as Topic Resuscitation / methods* Tachycardia, Ventricular / chemically induced, physiopathology, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Amides; 0/Anesthetics, Local; 0/Fat Emulsions, Intravenous; 137-58-6/Lidocaine; 84057-95-4/ropivacaine |
| Comments/Corrections | |
Comment In:
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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:
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Anesth Analg. 2008 Jul;107(1):238 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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