Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient

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....

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Main Authors: Liana Maria Torres de Araújo Azi, Diego Grimaldi Figueroa, Ana Amélia Souza Simas
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2016/7826280
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author Liana Maria Torres de Araújo Azi
Diego Grimaldi Figueroa
Ana Amélia Souza Simas
author_facet Liana Maria Torres de Araújo Azi
Diego Grimaldi Figueroa
Ana Amélia Souza Simas
author_sort Liana Maria Torres de Araújo Azi
collection DOAJ
description 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.
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2090-6390
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publishDate 2016-01-01
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series Case Reports in Anesthesiology
spelling doaj-art-0f161ec874484438a5890bf2a276e8ea2025-08-20T02:02:39ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/78262807826280Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric PatientLiana Maria Torres de Araújo Azi0Diego Grimaldi Figueroa1Ana Amélia Souza Simas2Edgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, BrazilEdgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, BrazilEdgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, BrazilWe 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.http://dx.doi.org/10.1155/2016/7826280
spellingShingle Liana Maria Torres de Araújo Azi
Diego Grimaldi Figueroa
Ana Amélia Souza Simas
Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
Case Reports in Anesthesiology
title Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
title_full Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
title_fullStr Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
title_full_unstemmed Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
title_short Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
title_sort cardiac arrest after local anaesthetic toxicity in a paediatric patient
url http://dx.doi.org/10.1155/2016/7826280
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