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Reg Anesth Pain Med · Mar 2008
Case ReportsEarly intralipid therapy may have prevented bupivacaine-associated cardiac arrest.
- Thomas McCutchen and J C Gerancher.
- Department of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. mccutcq@netscape.net
- Reg Anesth Pain Med. 2008 Mar 1;33(2):178-80.
ObjectiveLocal anesthetic-induced cardiotoxicity remains a complication of regional anesthesia, with the potential to result in cardiac arrest refractory to resuscitation. Successful resuscitation using Intralipid (Baxter Pharmaceuticals by Fresenius Kabi, Uppsala, Sweden), has been reported in 2 patients with bupivacaine-induced cardiac arrest.Case ReportWe report another case for which Intralipid was used as part of a successful resuscitation in a patient with local anesthetic-induced cardiotoxicity.ConclusionsEarly treatment with Intralipid may help prevent cardiac arrest and speed successful resuscitation efforts.
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