Cardiac Arrest after Local Anaesthetic Toxicity in a Paediatric Patient

[Cardiac arrest after epidural anesthesia for a esthetic plastic surgery: a case report].

Cardiac arrest during neuraxial anesthesia is a serious adverse event, which may lead to significant neurological damage and death if not treated promptly. The associated mechanisms are neglected respiratory failure, extensive sympathetic block, local anaesthetic toxicity, total spinal block, in addition to the growing awareness of the vagal predominance as a predisposing factor. In the case re...

Lipid Emulsion for Local Anesthetic Systemic Toxicity

The accidental overdose of local anesthetics may prove fatal. The commonly used amide local anesthetics have varying adverse effects on the myocardium, and beyond a certain dose all are capable of causing death. Local anesthetics are the most frequently used drugs amongst anesthetists and although uncommon, local anaesthetic systemic toxicity accounts for a high proportion of mortality, with lo...

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Background: Cardiac arrest during general anesthesia is a rare and potentially fatal condition. Despite the progression of monitoring equipments and anesthetic mediations, this phenomenon is still an important problem for the anesthesiologists. Case Presentation: Herein, we reported a 38-year-old opium addict plasterer male scheduled for laminectomy. He had no previous medical history and took...

ECMO for Cardiac Rescue after Accidental Intravenous Mepivacaine Application

Mepivacaine is a potent local anaesthetic and used for infiltration and regional anaesthesia in adults and pediatric patients. Intoxications with mepivacaine affect mainly the CNS and the cardiovascular system. We present a case of accidental intravenous mepivacaine application and intoxication of an infant resulting in seizure, broad complex bradyarrhythmia, arterial hypotension and finally ca...

Reversal of Electrocardiographic Sodium Channel Blockade Changes with Bicarbonate Therapy in a Pediatric Patient Post-Cardiopulmonary Arrest Secondary to Methadone Toxicity