title: Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient.
abstract: We report a case of a paediatric patient undergoing urological procedure in which a possible inadvertent intravascular or intraosseous injection of bupivacaine with adrenaline in usual doses caused subsequent cardiac arrest, completely reversed after administration of 20% intravenous lipid emulsion. Early diagnosis of local anaesthetics toxicity and adequate cardiovascular resuscitation manoeuvres contribute to the favourable outcome.
authors.affiliation: Edgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Liana Maria
authors.identifier: 0000-0002-9466-6537
authors.initials: LM
authors.lastname: Torres de Araújo Azi
authors.affiliation: Edgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Diego Grimaldi
authors.initials: DG
authors.lastname: Figueroa
authors.affiliation: Edgard Santos Professor University Hospital, Federal University of Bahia, Salvador, BA, Brazil.
authors.forename: Ana Amélia Souza
authors.initials: AA
authors.lastname: Simas