Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child.
We report the case of a 13-yr-old girl scheduled for knee surgery under general anesthesia and posterior lumbar plexus block. A ventricular arrhythmia developed 15 min after local anesthetic injection. A 20% lipid emulsion was successful in converting the ventricular arrhythmia to a sinus rhythm. This is consistent with previous reports suggesting that lipid emulsion is an effective emergency treatment of local anesthetic toxicity. We recommend the immediate availability of lipid emulsion along with other emergency therapeutics in operating rooms where local anesthetics are used.
Ludot
Hugues
H
Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France.
Tharin
Jean-Yves
JY
Belouadah
Mohamed
M
Mazoit
Jean-Xavier
JX
Malinovsky
Jean-Marc
JM
D000293:Adolescent; D000577:Amides / Q000009:adverse effects* / Q000097:blood; D000779:Anesthetics, Local / Q000009:adverse effects* / Q000097:blood; D004562:Electrocardiography; D004638:Emergency Treatment; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects* / Q000097:blood; D008160:Lumbosacral Plexus; D009407:Nerve Block; D017410:Practice Guidelines as Topic; D012151:Resuscitation / Q000379:methods*; D000077212:Ropivacaine; D017180:Tachycardia, Ventricular / Q000139:chemically induced / Q000503:physiopathology / Q000628:therapy*
D000577:Amides; D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous; D000077212:Ropivacaine; D008012:Lidocaine