• J Clin Anesth · Aug 2016

    Case Reports

    Lipid rescue in children: The prompt decision.

    • Ramón Eizaga Rebollar, María V García Palacios, Javier Morales Guerrero, and Luis M Torres Morera.
    • Department of Anesthesiology and Reanimation, Puerta del Mar University Hospital, Cádiz, Spain. Electronic address: ramonchueizaga@hotmail.com.
    • J Clin Anesth. 2016 Aug 1; 32: 248-52.

    AbstractWe report the case of a 17-month-old child who underwent laparotomy under general anesthesia and caudal block. Electrocardiogram ST-T changes were observed after local anesthetic injection. The prompt use of Intralipid 30% was successful in normalizing ECG alterations. Our experience is consistent with previous literature, mainly carried out in adults. Thereby, we conduct a brief review of the subject in pediatrics. As a major conclusion, we strongly recommend the "fast-track" lipid rescue as soon as this severe complication is detected.Copyright © 2016 Elsevier Inc. All rights reserved.

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