Two for One: A Case Report of Intravenous Lipid Emulsion to Treat Local Anesthetic Systemic Toxicity in Term Pregnancy.
A A Case Rep
; 8(9): 235-237, 2017 May 01.
Article
in En
| MEDLINE
| ID: mdl-28099175
ABSTRACT
Combined spinal-epidural (CSE) analgesia is a frequently used method of labor analgesia. Although it is considered safe and effective, CSE can be complicated by local anesthetic systemic toxicity (LAST), a potentially life-threatening condition. We present a case of LAST that developed in a primigravida 50 minutes after uneventful placement of a CSE. Her symptoms resolved within 10 minutes of administering intralipid emulsion. She subsequently underwent cesarean delivery under spinal anesthesia for failure to progress without sequelae in the mother or infant. LAST in pregnancy can occur at traditionally subthreshold dosing; anesthesiologists must be vigilant to ensure prompt and effective treatment.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Poisoning
/
Analgesia, Epidural
/
Analgesia, Obstetrical
/
Fat Emulsions, Intravenous
/
Anesthetics, Local
/
Lidocaine
/
Antidotes
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
A A Case Rep
Year:
2017
Document type:
Article