EMLA cream and lidocaine local injection in the treatment of extravenous thiopental injection--a case report.
Thiopental extravasation which would cause tissue edema and necrosis in rapid progression by chemical reaction and vascular spasm is a potentially serious complication in anesthesia. Early diagnosis and treatment may bear a favorable outcome. A patient who sustained thiopental extravasation and received local injection of lidocaine and local application of EMLA (Eutectic Mixture of Local Anesthetics) for treatment with excellent results is presented hereunder.
Mao
C C
CC
Department of Anesthesiology, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Hsieh
Y C
YC
Hseu
S S
SS
Tsai
S K
SK
Lee
T Y
TY
D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D004338:Drug Combinations; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008012:Lidocaine / Q000008:administration & dosage*; D000077442:Lidocaine, Prilocaine Drug Combination; D008875:Middle Aged; D009824:Ointments; D011318:Prilocaine / Q000008:administration & dosage*; D013874:Thiopental / Q000008:administration & dosage* / Q000009:adverse effects
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine; D008012:Lidocaine; D013874:Thiopental