[Cardiotoxic and neurotoxic effects after accidental intravascular bupivacaine administration. Therapy with lidocaine propofol and lipid emulsion]. / Kardio- und neurotoxische Nebenwirkungen nach akzidenteller intravasaler Bupivacainapplikation. Therapie mit Lidocain, Propofol und Lipidemulsion.
Anaesthesist
; 56(5): 449-53, 2007 May.
Article
em De
| MEDLINE
| ID: mdl-17277955
ABSTRACT
Accidental intravascular administration of bupivacaine can cause severe neurotoxic and cardiotoxic effects. We report a case of suspected bupivacaine intoxication due to intravascular injection via an epidural catheter and treatment with lidocaine, propofol, and a 20% lipid emulsion resulting in fast resolution of cardiotoxic and neurotoxic effects. Possible mechanisms of action of the medications used are discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Bupivacaína
/
Propofol
/
Anestésicos Intravenosos
/
Síndromes Neurotóxicas
/
Emulsões Gordurosas Intravenosas
/
Cardiopatias
/
Anestésicos Locais
/
Lidocaína
Limite:
Aged80
/
Humans
/
Male
Idioma:
De
Revista:
Anaesthesist
Ano de publicação:
2007
Tipo de documento:
Article