Intravenous lipid infusion in the successful resuscitation of local anesthetic-induced cardiovascular collapse after supraclavicular brachial plexus block.
We describe a case of successful resuscitation with an i.v. lipid infusion of local anesthetic-induced cardiovascular toxicity after supraclavicular brachial plexus block with mepivacaine and bupivacaine. Lipid therapy was initiated after 10 min of unsuccessful resuscitation and resulted in restoration of cardiovascular activity and hemodynamic stability. This case illustrates the utility of i.v. lipid therapy in the treatment of local anesthetic toxicity.
Warren
Julio A
JA
Department of Anesthesiology, University of Alabama, School of Medicine, Birmingham, AL, USA. julio@uab.edu
Thoma
R Brian
RB
Georgescu
Alexandru
A
Shah
Saurin J
SJ
D000779:Anesthetics, Local / Q000009:adverse effects* / Q000097:blood; D001917:Brachial Plexus; D002045:Bupivacaine / Q000009:adverse effects* / Q000097:blood; D016887:Cardiopulmonary Resuscitation; D004562:Electrocardiography; D004638:Emergency Treatment; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D006323:Heart Arrest / Q000139:chemically induced / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008619:Mepivacaine / Q000009:adverse effects* / Q000097:blood; D008875:Middle Aged; D009407:Nerve Block; D017410:Practice Guidelines as Topic
D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous; D008619:Mepivacaine; D002045:Bupivacaine