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A review of local anesthetic cardiotoxicity and treatment with lipid emulsion.
MedLine Citation:
PMID:  22915863     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Cardiovascular collapse from accidental local anesthetic toxicity is a rare but catastrophic complication of regional anesthesia. The long-acting amide local anesthetics bupivacaine, levobupivacaine and ropivacaine have differential cardiac toxicity, but all are capable of causing death with accidental overdose. In recent times, the chance discovery that lipid emulsion may improve the chance of successful resuscitation has lead to recommendations that it should be available in every location where regional anesthesia is performed. This review will outline the mechanisms of local anesthetic toxicity and the rationale for lipid emulsion therapy.
Authors:
Emma Bourne; Christine Wright; Colin Royse
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Publication Detail:
Type:  Journal Article     Date:  2010-02-26
Journal Detail:
Title:  Local and regional anesthesia     Volume:  3     ISSN:  1178-7112     ISO Abbreviation:  Local Reg Anesth     Publication Date:  2010  
Date Detail:
Created Date:  2012-08-23     Completed Date:  2012-10-02     Revised Date:  2013-03-14    
Medline Journal Info:
Nlm Unique ID:  101566276     Medline TA:  Local Reg Anesth     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  11-9     Citation Subset:  -    
Affiliation:
Cardiovascular Therapeutics Unit, Department of Pharmacology, University of Melbourne.
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