Use of Intralipid in an infant with impending cardiovascular collapse due to local anesthetic toxicity.
Local anesthetic-associated cardiac toxicity following caudal epidural blockade is, fortunately, a rare event. Prompt recognition and early treatment is the key to successful resuscitation. Early use of the lipid emulsion Intralipid in bupivacaine-induced cardiac toxicity may lead to a good outcome.
Shah
Shailesh
S
Arkansas Children's Hospital/University of Arkansas for Medical Sciences, Department of Pediatric Anesthesiology and Pain Medicine, 3 Children's Way, Slot 203, Little Rock, AR 72202, USA.
Gopalakrishnan
Senthil
S
Apuya
Jesus
J
Shah
Sonia
S
Martin
Timothy
T
D000763:Anesthesia, Caudal; D000771:Anesthesia, Intravenous; D000779:Anesthetics, Local / Q000009:adverse effects*; D016887:Cardiopulmonary Resuscitation; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011182:Postoperative Care; D012769:Shock / Q000139:chemically induced* / Q000188:drug therapy*
D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous
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