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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Detalles Bibliográficos
Autores principales: Torres de Araújo Azi, Liana Maria, Figueroa, Diego Grimaldi, Simas, Ana Amélia Souza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107833/
https://www.ncbi.nlm.nih.gov/pubmed/27872765
http://dx.doi.org/10.1155/2016/7826280
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author Torres de Araújo Azi, Liana Maria
Figueroa, Diego Grimaldi
Simas, Ana Amélia Souza
author_facet Torres de Araújo Azi, Liana Maria
Figueroa, Diego Grimaldi
Simas, Ana Amélia Souza
author_sort Torres de Araújo Azi, Liana Maria
collection PubMed
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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spelling pubmed-51078332016-11-21 Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient Torres de Araújo Azi, Liana Maria Figueroa, Diego Grimaldi Simas, Ana Amélia Souza Case Rep Anesthesiol Case Report 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. Hindawi Publishing Corporation 2016 2016-10-31 /pmc/articles/PMC5107833/ /pubmed/27872765 http://dx.doi.org/10.1155/2016/7826280 Text en Copyright © 2016 Liana Maria Torres de Araújo Azi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Torres de Araújo Azi, Liana Maria
Figueroa, Diego Grimaldi
Simas, Ana Amélia Souza
Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107833/
https://www.ncbi.nlm.nih.gov/pubmed/27872765
http://dx.doi.org/10.1155/2016/7826280
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