• Rev Bras Anestesiol · Dec 2004

    [Accidental intravascular injection of 0.5% ropivacaine during thoracic epidural anesthesia: case reports.].

    • Fábio Geraldo Curtis, Robson Furlani, and Yara Marcondes Machado Castiglia.
    • CET/SBA, Departamento de Anestesiologia, FMB, UNESP.
    • Rev Bras Anestesiol. 2004 Dec 1; 54 (6): 802-8.

    Background And ObjectivesRopivacaine was introduced in the clinical practice a little more than 10 years ago, and has been associated to low risk for central nervous system and cardiovascular complications. These reports aimed at presenting a case of cardiac arrest and another one of neurological toxicity after accidental intravascular ropivacaine injection during epidural anesthesia.Case ReportsTwo patients undergoing cosmetic plastic surgeries were submitted to thoracic epidural anesthesia with 0.5% ropivacaine. After anesthetic injection, one has presented cardiac arrest in asystole and the other had signs of neurological toxicity. Patients were promptly treated and presented fast recovery, in a way that both surgical procedures could be performed.ConclusionsThe prompt Identification and treatment of the accidental intravascular injection, as well as ropivacaine pharmacological profile, were decisive in both cases for the satisfactory recovery of our patients.

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