دورية أكاديمية
Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases
| العنوان: | Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases |
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| المؤلفون: | Ji Yeon Kim, Beom Il Park, Min Hee Heo, Kyoung Woo Kim, Sang-Il Lee, Kyung-Tae Kim, Won Joo Choe, Jang Su Park, Jun Hyun Kim |
| المصدر: | Anesthesia and Pain Medicine, Vol 17, Iss 2, Pp 228-234 (2022) |
| بيانات النشر: | Korean Society of Anesthesiologists, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Anesthesiology LCC:Medicine |
| مصطلحات موضوعية: | adverse effects, brachial plexus block, lidocaine, local anesthetic, ropivacaine, toxicity, Anesthesiology, RD78.3-87.3, Medicine |
| الوصف: | Background Local anesthetics systemic toxicity (LAST) is a grave complication of regional anesthesia that usually occurs immediately after local anesthetics injection. Here, we report on rare late-onset toxicity cases after supraclavicular brachial plexus blocks. Case Two patients underwent surgery for radius fractures. We used lidocaine 100 mg and ropivacaine 150 mg for blocking and infused dexmedetomidine for intraoperative sedation. The 63-year-old male patient’s blood pressure dropped to 87/60 mmHg after 3 h 15 min after blocking. Ventricular fibrillation occurred 10 min later. After five defibrillations, electrocardiography showed ventricular tachycardia that was normalized through one cardioversion. The 54-year-old female patient’s heart rate decreased to 35 beats/min 2 h 30 min after blocking. Her vital signs returned to normal after administering atropine, ephedrine, epinephrine, and lipid emulsion. Conclusions Physicians should remember that LAST may occur long after local anesthetic injection and be aware of factors that may adversely affect the course of LAST. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1975-5171 2383-7977 |
| Relation: | http://www.anesth-pain-med.org/upload/pdf/apm-21093.pdf; https://doaj.org/toc/1975-5171; https://doaj.org/toc/2383-7977 |
| DOI: | 10.17085/apm.21093 |
| URL الوصول: | https://doaj.org/article/d5e37316d4b947169db055fdc981ddc7 |
| رقم الأكسشن: | edsdoj.5e37316d4b947169db055fdc981ddc7 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19755171 23837977 |
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| DOI: | 10.17085/apm.21093 |