| Title | Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child. |
| Author(s) | Ludot H, Tharin JY, Belouadah M, Mazoit JX, Malinovsky JM |
| Institution | Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France. |
| Source | Anesth Analg 2008 May; 106(5):1572-4, table of contents. |
| MeSH | Adolescent
Amides
Anesthetics, Local
Electrocardiography
Emergency Treatment
Fat Emulsions, Intravenous
Female
Humans
Lidocaine
Lumbosacral Plexus
Nerve Block
Practice Guidelines as Topic
Resuscitation
Tachycardia, Ventricular
|
| Abstract | 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. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 18420879 |
