title: Chloroprocaine: local anesthetic systemic toxicity in a 9-month infant with paravertebral catheter.
abstract: Regional anesthesia use in pediatric patients has a good safety profile. 2-Chloroprocaine is used frequently in infants due to rapid onset, lack of accumulation, and rapid plasma degradation. We present a case of local anesthetic systemic toxicity following the administration of 3% 2-chloroprocaine through a paravertebral catheter in an infant. The episode lasted 40 s followed by complete recovery. The infrequent reporting of local anesthetic systemic toxicity and limited duration of symptoms supports the continued use of 2-chloroprocaine in infants. Volume should be restricted to the smallest amount providing analgesia.
authors.affiliation: Department of Anesthesia, Perioperative & Pain Medicine, Boston Children's Hospital - Harvard Medical School, Boston, MA, USA.
authors.forename: Maria A
authors.initials: MA
authors.lastname: Hernandez
authors.affiliation: Department of Anesthesia, Perioperative & Pain Medicine, Boston Children's Hospital - Harvard Medical School, Boston, MA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Boretsky
keywords: chloroprocaine; infants; local anesthesia; paravertebral block