Unusual presentation of long QT syndrome.
We describe the case of a 9-yr-old child with undiagnosed long QT syndrome who experienced an intraoperative cardiac arrest after accidental intravascular injection of bupivacaine with epinephrine via a misplaced epidural catheter.
Cucchiaro
G
G
Department of Anesthesia and Critical Care Medicine, Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104-4399, USA. cucchiaro@email.chop.edu
Rhodes
L A
LA
D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects*; D002648:Child; D004837:Epinephrine / Q000009:adverse effects; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008133:Long QT Syndrome / Q000150:complications*; D008297:Male
D000779:Anesthetics, Local; D002045:Bupivacaine; D004837:Epinephrine