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Acta Anaesthesiol Scand · Aug 2003
Case ReportsCardiac arrest after interscalene brachial plexus block with ropivacaine and lidocaine.
- M Reinikainen, A Hedman, O Pelkonen, and E Ruokonen.
- Department of Anaesthesiology, Kuopio University Hospital, Kuopio, Finland. matti.reinikainen@kuh.fi
- Acta Anaesthesiol Scand. 2003 Aug 1;47(7):904-6.
AbstractSerious adverse reactions to ropivacaine and lidocaine are rare. In this report, we describe a case of sudden cardiac arrest after an interscalene brachial plexus block with a mixture of 150 mg of ropivacaine and 360 mg of lidocaine in a previously healthy, 34-year-old, 97-kg man. Severe hypotension occurred after successful resuscitation, necessitating an infusion of epinephrine. The patient developed pulmonary oedema, and was mechanically ventilated for 22 h. He eventually made a good recovery. We conclude that although ropivacaine and lidocaine are often considered relatively safe local anesthetics, serious cardiovascular complications can occur after the use of these drugs.
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