[Convulsions induced by ropivacaine after brachial plexus block].
Ropivacaine is a local anesthetic frequently used to provide regional blocks because its toxicity threshold is favorable and it is highly selective for sensory nerve fibers. Few reports of adverse events and complications related to use of ropivacaine have been published. We report 2 cases of central nervous system toxicity. Each occurred after a brachial plexus block with 0.75% ropivacaine, one performed by an axillary approach and one by an infraclavicular approach with nerve stimulation.
Recasens Urbez
J
J
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitari Joan XXIII, Tarragona. jru@tinet.org
Ferrer Gómez
C
C
Puig Bitria
R
R
Jubera Ortiz de Landázuri
P
P
Boada Pie
S
S
Rull Bartomeu
M
M
D000577:Amides / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D001917:Brachial Plexus; D002348:Carpal Bones / Q000601:surgery; D004599:Electric Stimulation Therapy; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects*; D000077212:Ropivacaine; D012640:Seizures / Q000139:chemically induced*
D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine