Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:7826280.
doi: 10.1155/2016/7826280. Epub 2016 Oct 31.

Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient

Liana Maria Torres de Araújo Azi  1 , Diego Grimaldi Figueroa  1 , Ana Amélia Souza Simas  1
Affiliations

Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient

Liana Maria Torres de Araújo Azi et al. Case Rep Anesthesiol. 2016.

Abstract

We report a case of a paediatric patient undergoing urological procedure in which a possible inadvertent intravascular or intraosseous injection of bupivacaine with adrenaline in usual doses caused subsequent cardiac arrest, completely reversed after administration of 20% intravenous lipid emulsion. Early diagnosis of local anaesthetics toxicity and adequate cardiovascular resuscitation manoeuvres contribute to the favourable outcome.

PubMed Disclaimer

Figures

Figure 1
Figure 1
See this image and copyright information in PMC

References

    1. Giaufré E. Caudal anesthesia in children. Cah Anesthesiol. 1995;43(3):281–286. - PubMed
    1. Ciechanowicz S., Patil V. Lipid emulsion for local anesthetic systemic toxicity. Anesthesiology Research and Practice. 2012;2012:11. doi: 10.1155/2012/131784.131784 - DOI - PMC - PubMed
    1. Kamel I., Trehan G., Barnette R. Intralipid therapy for inadvertent peripheral nervous system blockade resulting from local anesthetic overdose. Case Reports in Anesthesiology. 2015;2015:3. doi: 10.1155/2015/486543.486543 - DOI - PMC - PubMed
    1. Shenoy U., Paul J., Antony D. Lipid resuscitation in pediatric patients—need for caution? Paediatric Anaesthesia. 2014;24(3):332–334. doi: 10.1111/pan.12285. - DOI - PubMed
    1. Lönnqvist P.-A., Morton N. S. Postoperative analgesia in infants and children. British Journal of Anaesthesia. 2005;95(1):59–68. doi: 10.1093/bja/aei065. - DOI - PubMed

LinkOut - more resources