Successful resuscitation of bupivacaine-induced cardiotoxicity in a neonate.
We report a case of bupivacaine-induced cardiotoxicity in a neonate following caudal epidural block under general anesthesia for urologic surgery. Prompt recognition of the complication allowed early intervention with both standard resuscitative measures and administration of 20% Intralipid(®) , resulting in a good outcome.
Lin
Erica P
EP
Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. erica.lin@cchmc.org
Aronson
Lori A
LA
D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects*; D016887:Cardiopulmonary Resuscitation; D002944:Circumcision, Male; D004562:Electrocardiography / Q000187:drug effects; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use; D006331:Heart Diseases / Q000139:chemically induced* / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009336:Necrosis; D009919:Orchiectomy; D013737:Testis / Q000601:surgery; D013521:Urologic Surgical Procedures, Male
D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous; D002045:Bupivacaine