A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity

Local anesthetics are widely used by various medical professionals. Although their usefulness is unquestionable, as with any medication, there is a possibility of iatrogenic effects. When local anesthetic systemic toxicity occurs, it might be a life-threatening condition. Knowing its existence and h...

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Detalles Bibliográficos
Autores principales: Lavado, Pedro, Carvalho, Eduardo, Almeida, Manuel, Taveira, Isabel, Pádua, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632230/
https://www.ncbi.nlm.nih.gov/pubmed/36348927
http://dx.doi.org/10.7759/cureus.29902
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author Lavado, Pedro
Carvalho, Eduardo
Almeida, Manuel
Taveira, Isabel
Pádua, Fernando
author_facet Lavado, Pedro
Carvalho, Eduardo
Almeida, Manuel
Taveira, Isabel
Pádua, Fernando
author_sort Lavado, Pedro
collection PubMed
description Local anesthetics are widely used by various medical professionals. Although their usefulness is unquestionable, as with any medication, there is a possibility of iatrogenic effects. When local anesthetic systemic toxicity occurs, it might be a life-threatening condition. Knowing its existence and how to act when it arises is crucial. The clinical presentation is wide-ranging, but globally it affects the neurological and cardiovascular system, with cardiac arrest being the extreme of its presentation. The treatment is mainly supportive with an attempt to reverse the effects of the anesthetic by administering a lipid emulsion. Here, we present a clinical case of difficult management with many complications.
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spelling pubmed-96322302022-11-07 A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity Lavado, Pedro Carvalho, Eduardo Almeida, Manuel Taveira, Isabel Pádua, Fernando Cureus Anesthesiology Local anesthetics are widely used by various medical professionals. Although their usefulness is unquestionable, as with any medication, there is a possibility of iatrogenic effects. When local anesthetic systemic toxicity occurs, it might be a life-threatening condition. Knowing its existence and how to act when it arises is crucial. The clinical presentation is wide-ranging, but globally it affects the neurological and cardiovascular system, with cardiac arrest being the extreme of its presentation. The treatment is mainly supportive with an attempt to reverse the effects of the anesthetic by administering a lipid emulsion. Here, we present a clinical case of difficult management with many complications. Cureus 2022-10-04 /pmc/articles/PMC9632230/ /pubmed/36348927 http://dx.doi.org/10.7759/cureus.29902 Text en Copyright © 2022, Lavado et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Lavado, Pedro
Carvalho, Eduardo
Almeida, Manuel
Taveira, Isabel
Pádua, Fernando
A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title_full A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title_fullStr A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title_full_unstemmed A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title_short A Myriad of Symptoms After Spinal Anesthesia: A Case Report of Local Anesthetic Systemic Toxicity
title_sort myriad of symptoms after spinal anesthesia: a case report of local anesthetic systemic toxicity
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632230/
https://www.ncbi.nlm.nih.gov/pubmed/36348927
http://dx.doi.org/10.7759/cureus.29902
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