• Annals of plastic surgery · Oct 2007

    Case Reports

    Ventricular standstill: a complication of intrapleural anesthesia using bupivacaine in a patient with free transverse rectus abdominus myocutaneous flap breast reconstruction.

    • Jagajeevan Jagadeesan, Ruben Kannan, and David Dujon.
    • Department of Burns and Plastic Surgery, Northern General Hospital, Sheffield, South Yorkshire, United Kingdom. drjjag@yahoo.com
    • Ann Plast Surg. 2007 Oct 1; 59 (4): 445-6.

    AbstractTransverse rectus abdominus myocutaneous (TRAM) flap is one of the commonly used techniques for breast reconstruction. Postoperative pain relief is of paramount importance following TRAM flap breast reconstruction to avoid potentially preventable complications like chest infection. Several methods of pain control are available, including intrapleural anesthesia. Here we report a case of a patient who developed ventricular standstill as a complication of intrapleural bupivacaine.

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