Lipid rescue in children: The prompt decision.
We report the case of a 17-month-old child who underwent laparotomy under general anesthesia and caudal block. Electrocardiogram ST-T changes were observed after local anesthetic injection. The prompt use of Intralipid 30% was successful in normalizing ECG alterations. Our experience is consistent with previous literature, mainly carried out in adults. Thereby, we conduct a brief review of the subject in pediatrics. As a major conclusion, we strongly recommend the "fast-track" lipid rescue as soon as this severe complication is detected.
Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain. Electronic address: ramonchueizaga@hotmail.com.
Ramón
R
Eizaga Rebollar
Department of Preventive Medicine and Public Health, Puerta del Mar University Hospital, Cádiz, Spain.
María V
MV
García Palacios
Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain.
Javier
J
Morales Guerrero
Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain.
Luis M
LM
Torres Morera
D000763:Anesthesia, Caudal / Q000009:adverse effects*; D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects / Q000031:analogs & derivatives*; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D006801:Humans; D007223:Infant; D000077554:Levobupivacaine; D008297:Male; D013995:Time; D016896:Treatment Outcome
D000779:Anesthetics, Local; D005217:Fat Emulsions, Intravenous; D000077554:Levobupivacaine; D002045:Bupivacaine