Respiratory arrest after 0.75% bupivacaine retrobulbar block.
Respiratory arrest is an uncommon complication of retrobulbar anesthesia. We present a case in which it occurred following a 0.75% bupivacaine and 2% lidocaine retrobulbar block and analyze the possible causes. We conclude that the most important of these were the relatively high concentration and volume of the anesthetic and a faulty technique.
Department of Ophthalmology, San Carlos University Hospital, Madrid, Spain.
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A
Castillo
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C
Lopez-Abad
J M
JM
Macias
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D
Diaz
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000008:administration & dosage / Q000009:adverse effects*; D005123:Eye; D005260:Female; D006801:Humans; D007267:Injections; D009407:Nerve Block; D012131:Respiratory Insufficiency / Q000139:chemically induced / Q000209:etiology*
D002045:Bupivacaine