title: Successful resuscitation after ropivacaine and lidocaine-induced ventricular arrhythmia following posterior lumbar plexus block in a child.
abstract: 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.
authors.affiliation: Pediatric Anesthesia Unit, American Memorial Hospital, CHU Reims, F-51092, France.
authors.forename: Hugues
authors.initials: H
authors.lastname: Ludot
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Tharin
authors.forename: Mohamed
authors.initials: M
authors.lastname: Belouadah
authors.forename: Jean-Xavier
authors.initials: JX
authors.lastname: Mazoit
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Malinovsky
mesh_terms: 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*
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous; D000077212:Ropivacaine; D008012:Lidocaine