Hyperkalemic cardiac arrest triggered by intravenous lidocaine following axillary brachial plexus block for the creation of an arteriovenous fistula: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 756-760, 2008.
Article
in Ko
| WPRIM
| ID: wpr-152762
Responsible library:
WPRO
ABSTRACT
Axillary brachial plexus blockade (BPB) is commonly used as an anesthetic method for patients undergoing the creation of an arteriovenous fistula (AVF) during end-stage renal disease (ESRD). Several studies have shown that the combination of intravenous lidocaine and hyperkalemia in ESRD can produce severe conduction disturbance and asystole. Here, we report a case of cardiac arrest in a 41 year old male patient who manifested severe cardiac conduction disturbance during creation of an AVF. Sixty-five minutes after BPB, the intravenous therapeutic doses of lidocaine administered to treat frequent premature ventricular contractions aggravated his heart rhythm and produced a sine wave and ventricular fibrillation. It was assumed that ventricular fibrillation was induced by a combination of local anesthetics administered during BPB and systemic hyperkalemia as a result of the ESRD [ED highlight-please ensure my changes do not alter your intended meaning]. The patient was completely resuscitated 45 minutes after the cardiopulmonary resuscitation and correction of the hyperkalemia.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Ventricular Fibrillation
/
Brachial Plexus
/
Arteriovenous Fistula
/
Cardiopulmonary Resuscitation
/
Ventricular Premature Complexes
/
Dietary Sucrose
/
Heart
/
Heart Arrest
/
Hyperkalemia
/
Kidney Failure, Chronic
Limits:
Humans
/
Male
Language:
Ko
Journal:
Korean Journal of Anesthesiology
Year:
2008
Type:
Article