Intravenous lipid infusion in the successful resuscitation of local anesthetic-induced cardiovascular collapse after supraclavicular brachial plexus block

被引:139
作者
Warren, Julio A. [1 ]
Thoma, R. Brian [1 ]
Georgescu, Alexandru [1 ]
Shah, Saurin J. [1 ]
机构
[1] Univ Alabama, Sch Med, Dept Anesthesiol, Birmingham, AL 35294 USA
关键词
D O I
10.1213/01.ane.0000281434.80883.88
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a case of successful resuscitation with an IV lipid infusion of local anesthetic-induced cardiovascular toxicity after supraclavicular brachial plexus block with mepivacaine and bupivacame. Lipid therapy was initiated after 10 min of unsuccessful resuscitation and resulted in restoration of cardiovascular activity and hemodynamic stability. This case illustrates the utility of IV lipid therapy in the treatment of local anesthetic toxicity.
引用
收藏
页码:1578 / 1580
页数:3
相关论文
共 14 条
[1]   CARDIAC-ARREST FOLLOWING REGIONAL ANESTHESIA WITH ETIDOCAINE OR BUPIVACAINE [J].
ALBRIGHT, GA .
ANESTHESIOLOGY, 1979, 51 (04) :285-287
[2]   Interscalene brachial plexus anesthesia with ropivacaine 5 mg/mL and bupivacaine 5 mg/mL: Effects on electrocardiogram [J].
Borgeat, A ;
Ekatodramis, G ;
Blumenthal, S .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2004, 29 (06) :557-563
[3]   Lipid reversal of bupivacaine toxicity: Has the silver bullet been identified? [J].
Groban, L ;
Butterworth, J .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2003, 28 (03) :167-169
[4]  
Groban L, 2001, ANESTH ANALG, V92, P37
[5]   Central nervous and cardiovascular effects of i.v. infusions of ropivacaine, bupivacaine and placebo in volunteers [J].
Knudsen, K ;
Suurkula, MB ;
Blomberg, S ;
Sjovall, J ;
Edvardsson, N .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 78 (05) :507-514
[6]   Successful resuscitation of a patient with ropivacaine-induced asystole after axillary plexus block using lipid infusion [J].
Litz, R. J. ;
Popp, M. ;
Stehr, S. N. ;
Koch, T. .
ANAESTHESIA, 2006, 61 (08) :800-801
[7]   Lipid emulsion to treat overdose of local anaesthetic: the gift of the glob [J].
Picard, J ;
Meek, T .
ANAESTHESIA, 2006, 61 (02) :107-109
[8]   Successful use of a 20% lipid emulsion to resuscitate a patient after a presumed bupivacaine-related cardiac arrest [J].
Rosenblatt, Meg A. ;
Abel, Mark ;
Fischer, Gregory W. ;
Itzkovich, Chad J. ;
Eisenkraft, James B. .
ANESTHESIOLOGY, 2006, 105 (01) :217-218
[9]   Lipid infusion resuscitation for local anesthetic toxicity - Proof of clinical efficacy [J].
Weinberg, G .
ANESTHESIOLOGY, 2006, 105 (01) :7-8
[10]   Lipid emulsion infusion rescues dogs from bupivacaine-induced cardiac toxicity [J].
Weinberg, G ;
Ripper, R ;
Feinstein, DL ;
Hoffman, W .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2003, 28 (03) :198-202