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Emerg Med Australas · Apr 2011
Case ReportsSuccessful resuscitation from bupivacaine-induced cardiovascular collapse with intravenous lipid emulsion following femoral nerve block in an emergency department.
- Martyn Harvey, Grant Cave, Giles Chanwai, and Tonia Nicholson.
- Waikato Hospital, Hamilton, New Zealand. martyn.harvey@waikatodhb.health.nz
- Emerg Med Australas. 2011 Apr 1;23(2):209-14.
AbstractWe report a case of a 69-year-old woman with femoral neck fracture undergoing bupivacaine femoral nerve block for preoperative analgesia in an ED. Seizure and cardiovascular collapse developed immediately after instillation of local anaesthetic. Resuscitation including 20% lipid emulsion was successful in achieving normalization of haemodynamic parameters and ECG QRS duration. No adverse sequelae of lipid administration were observed. We recommend the immediate availability of lipid emulsion in emergency room settings where local anaesthetics are used.© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
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