Ventricular standstill: a complication of intrapleural anesthesia using bupivacaine in a patient with free transverse rectus abdominus myocutaneous flap breast reconstruction.
Transverse rectus abdominus myocutaneous (TRAM) flap is one of the commonly used techniques for breast reconstruction. Postoperative pain relief is of paramount importance following TRAM flap breast reconstruction to avoid potentially preventable complications like chest infection. Several methods of pain control are available, including intrapleural anesthesia. Here we report a case of a patient who developed ventricular standstill as a complication of intrapleural bupivacaine.
Jagadeesan
Jagajeevan
J
Department of Burns and Plastic Surgery, Northern General Hospital, Sheffield, South Yorkshire, United Kingdom. drjjag@yahoo.com
Kannan
Ruben
R
Dujon
David
D
D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects*; D001919:Bradycardia / Q000139:chemically induced*; D001943:Breast Neoplasms / Q000601:surgery; D002045:Bupivacaine / Q000008:administration & dosage* / Q000009:adverse effects*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000601:surgery; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced*; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D011184:Postoperative Period; D013524:Surgical Flaps
D000779:Anesthetics, Local; D002045:Bupivacaine