title: [Ventricular fibrillation with tolonium chloride: axillary brachial plexus anesthesia led to cessation of circulation].
abstract: A 22-year-old patient underwent surgery for a glass wound incision of the hand and anesthesia was carried out using an axillary brachial plexus block with prilocaine. Following surgery the patient developed methemoglobinemia which was treated with tolonium chloride. After administration of the drug the sinus rhythm changed into ventricular fibrillation. The current treatment options of methemoglobinemia will be discussed.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Deutschland. Oliver.Radke@uniklinikum-dresden.de
authors.forename: O C
authors.initials: OC
authors.lastname: Radke
authors.forename: C
authors.initials: C
authors.lastname: Hoffmann
authors.forename: I
authors.initials: I
authors.lastname: Klut
authors.forename: T
authors.initials: T
authors.lastname: Koch
mesh_terms: D000779:Anesthetics, Local; D001784:Blood Gas Analysis; D001917:Brachial Plexus; D003422:Critical Care; D004562:Electrocardiography; D006230:Hand Injuries / Q000601:surgery; D006452:Hemoglobinometry; D006490:Hemostatics / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008708:Methemoglobinemia / Q000150:complications / Q000188:drug therapy; D009407:Nerve Block / Q000009:adverse effects*; D011318:Prilocaine; D012151:Resuscitation; D012769:Shock / Q000139:chemically induced* / Q000503:physiopathology; D014048:Tolonium Chloride / Q000009:adverse effects* / Q000627:therapeutic use; D014693:Ventricular Fibrillation / Q000139:chemically induced* / Q000503:physiopathology; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D006490:Hemostatics; D011318:Prilocaine; D014048:Tolonium Chloride