| Literature DB >> 17277955 |
C Zimmer1, K Piepenbrink, G Riest, J Peters.
Abstract
Accidental intravascular administration of bupivacaine can cause severe neurotoxic and cardiotoxic effects. We report a case of suspected bupivacaine intoxication due to intravascular injection via an epidural catheter and treatment with lidocaine, propofol, and a 20% lipid emulsion resulting in fast resolution of cardiotoxic and neurotoxic effects. Possible mechanisms of action of the medications used are discussed.Entities:
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Year: 2007 PMID: 17277955 DOI: 10.1007/s00101-007-1147-3
Source DB: PubMed Journal: Anaesthesist ISSN: 0003-2417 Impact factor: 1.041